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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1312526

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1. Nossaman LLP Political Action Committee (Nossaman PAC)

    1666 K Street, NW
    Suite 500
    Washington, DC 20006
    Email: fdombo@nossaman.com;dhuck@nossaman.com

    NOTE: Email address is different than previously reported

2. Date: 01/31/2019

3. FEC Committee ID #: C00473652

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 Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Mr. Frederick T. Dombo
1666 K St NW
Washington, DC 20006
Title: Custodian of Records
Phone # (202) 887-1485

Treasurer:

Mr. Frederick T. Dombo
1666 K St NW
Washington, DC 20006
Title: Treasurer
Phone # (202) 887-1485

Designated Agent(s):

Banks or Depositories

Wells Fargo
PO Box 563966
Charlotte, North Carolina 28256

Signed: Mr. Frederick T. Dombo
Date Signed: 01/31/2019

(End FEC FORM 1)

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