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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-809465

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1. Competitive Carriers Association PAC (CCA PAC)

    NOTE:Commmittee Name is different than previously reported

    805 15TH STREET NW
    SUITE 401
    WASHINGTON, DC 20005
    Email: tim.donovan@competitivecarriers.org

    NOTE: Email address is different than previously reported

2. Date: 09/13/2012

3. FEC Committee ID #: C00490698 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

Rural Cellular Association dba Competitive Carriers Association
805 15th St NW
Suite 401
Washington, DC 20005
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mr. Timothy James Donovan
805 15TH STREET NW
Suite 401
WASHINGTON, DC 20005
Title: VP Legislative Affia
Phone # (202) 449-9866

Treasurer:

Mr. Timothy James Donovan
805 15TH STREET NW
Suite 401
WASHINGTON, DC 20005
Title: VP Legislative Affai
Phone # (202) 449-9866

Designated Agent(s):

Rebecca Murphy Thompson
805 15th Street NW
Suite 401
Washington, DC 20005
Title: General Counsel
Phone # (202) 449-9866

Banks or Depositories

Capitol One, N.A.
925 15th St. NW
Washington, DC 20005

Signed: Mr. Timothy James Donovan
Date Signed: 09/13/2012

(End FEC FORM 1)

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