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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-760318

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1. OFFSHORE MARINE SERVICE ASSOCIATION PAC

    935 Graavier Street
    Suite 2040
    New Orleans, LA 70112

    NOTE: Address is different than previously reported

    Email: sarah@offshoremarine.org

2. Date: 12/31/2011

3. FEC Committee ID #: C00455584 This committee is a separate segregated fund. Its connected organization is a Trade Association
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Offshore Marine Service Association
935 Graavier Street
Suite 2040
New Orleans, Louisiana 70112
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Sarah K. Branch
935 Graavier Street
Suite 2040
New Orleans, LA 70112
Title: Asst. Treas./GR Dir.
Phone # (504) 528-9411

Treasurer:

James Adams
935 Graavier Street
Suite 2040
New Orleans, Louisiana 70112
Title: Pres/CEO/PAC Treas.
Phone # (504) 528-9411

Designated Agent(s):

Ryan D Israel
499 S. Capitol Street, SW
Suite 600
Washington, DC 20003
Title: Attorney
Phone # (202) 203-1020

Banks or Depositories

Chase Bank
950 South Clearview Parkway
Elmwood, Louisiana 70123

Signed: James Adams
Date Signed: 01/27/2012

(End FEC FORM 1)

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