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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-800781

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1. Janice Hahn for Congress

    1379 Park Western Drive
    #142
    San Pedro, CA 90732

    NOTE: Address is different than previously reported

    Email: fec@campaignfinance.com

    NOTE: Email address is different than previously reported

2. Date: 07/23/2012

3. FEC Committee ID #: C00493023 This committee is a Principal Campaign Committee. Candidate: Janice Hahn
Party: Democratic Party
Office Sought: House of Representatives
State is California in District: 44

Affiliated Committees/Organizations

Custodian of Records:

Brett P. Smiley
One Park Row
Fifth Floor
Providence, RI 02903
Title: Custodian of Records
Phone # (401) 454-0990

Treasurer:

James Cross
627 S. Meyler Street
San Pedro, California 90731
Title: Treasurer
Phone # (310) 308-7597

Designated Agent(s):

Brett P. Smiley
One Park Row
Fifth Floor
Providence, Rhode Island 02903
Title: Designated Agent
Phone # (401) 454-0990

Banks or Depositories

California Bank & Trust
550 Hope Street
Los Angeles, California 90071

Wells Fargo Bank N.A.
215 Pennsylvania Avenue SE
Washington, DC 20003

Signed: James Cross
Date Signed: 07/23/2012

(End FEC FORM 1)

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