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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-738474

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1. California Association of Marriage & Family Therapists PAC

    NOTE:Commmittee Name is different than previously reported

    555 Capitol Mall, Suite 1425
    Sacramento, CA 95814
    Email: info@olsonhagel.com

2. Date: 07/25/2011

3. FEC Committee ID #: C00346619 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

California Association of Marriage & Family Therapists
7901 Raytheon Road
San Diego, California 9211
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Lance H. Olson
555 Capitol Mall, Suite 1425
Sacramento, CA 95814
Title: Custodian of Records
Phone # (916) 442-2952

Treasurer:

Jill Epstein
7901 Raytheon Road
San Diego, California 92111
Title: Treasurer
Phone # (858) 292-2638

Designated Agent(s):

Ron Hynum
7901 Raytheon Road
San Diego, California 92111
Title: Assistant Treasurer
Phone # (858) 292-2638

Banks or Depositories

US Bank
621 Capitol Mall, Suite 800
Sacramento, California 95814

Signed: Jill Epstein
Date Signed: 07/25/2011

(End FEC FORM 1)

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