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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-794316

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1. Common Sense Common Solutions Political Action Committee

    901 N Washington St, Suite 700
    Alexandria, VA 22314

    NOTE: Address is different than previously reported

    Email: ted@kochandhoos.com

    NOTE: Email address is different than previously reported

2. Date: 07/10/2012

3. FEC Committee ID #: C00345058

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
     In addition, this committee is a Leadership PAC.

Affiliated Committees/Organizations

Candidate ID# H6TX12060
KAY GRANGER
715 JONES STREET, SUITE 101
FORT WORTH, Texas 76102
Affiliated Relationship Code: Leadership PAC Sponsor

Custodian of Records:

Timothy A. Koch
901 N Washington St, Suite 700
Alexandria, VA 22314
Title: Assistant Treasurer
Phone # (703) 299-8571

Treasurer:

Theodore V. Koch
901 N Washington St, Suite 700
Alexandria, Virginia 22314
Title: Treasurer
Phone # (703) 299-8570

Designated Agent(s):

Timothy A. Koch
901 N Washington St, Suite 700
Alexandria, Virginia 22314
Title: Assistant Treasurer
Phone # (703) 299-8571

Banks or Depositories

Wells Fargo
330 N Washington Street
Alexandria, Virginia 22314

Signed: Theodore V. Koch
Date Signed: 07/10/2012

(End FEC FORM 1)

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