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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-755893

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1. CAPAC Leadership PAC

    733 15th Street NW #905
    Washington, DC 20005
    Email: kgoulart@veng-group.com

2. Date: 12/27/2011

3. FEC Committee ID #: C00506907

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:

Kimberly Goulart
733 15th Street, NW #905
Washington, DC 20005
Title: PAC Manager
Phone # (202) 499-2027

Treasurer:

Vincent Eng
733 15th Street, NW #905
Washington, DC 20005
Title: Treasurer
Phone # (202) 499-2027

Designated Agent(s):

Kimberly Goulart
733 15th Street, NW #905
Washington, DC 20005
Title: Assistant Treasurer
Phone # (202) 499-2027

Banks or Depositories

PNC
1101 15th Street NW
Washington, DC 20005

Signed: Vincent Eng
Date Signed: 12/27/2011

(End FEC FORM 1)

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