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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-214535

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1. FRIENDS OF MOUNT SINAI MEDICAL CENTER PAC

    1400 NW 107th AVENUE
    4TH FLOOR
    MIAMI, FL 33172
    Fax: 3054181018
    Email: scuza@adlergroup.com

2. Date: 05/12/2005

3. FEC Committee ID #: C00411561

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

Custodian of Records:

MICHAEL M ADLER
1400 NW 107 AVE
5TH FL
MIAMI, FL 33172
Title: Chairman
Phone # (305) 392-4063

Treasurer:

STANLEY TATE
1175 NE 125 ST.
SUITE 102
NORTH MIAMI, Florida 33161
Title: Treasurer
Phone # (305) 891-1106

Designated Agent(s):

Banks or Depositories

CITY NATIONAL BANK
25 W FLAGLER ST
MIAMI, Florida 33130

Signed: STANLEY TATE
Date Signed: 04/24/2006
Official Committee FAX: 3054181018

(End FEC FORM 1)

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