FEC Form 1 for Congressional Committee on Cuban AffairsForm 1 for Congressional Committee on Cuban Affairs

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1001132

1. Congressional Committee on Cuban Affairs

1101 Pennsylvania Avenue FL-5
Washington, DC 20004

NOTE: Address is different than previously reported

Email: caryleepeterson@mail.com;info@usccca.us

NOTE: Email address is different than previously reported

2. Date: 02/12/2015

3. FEC Committee ID #: C00572685 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

NONE
, ____

Custodian of Records:

CARY L PETERSON
848 N RAINBOW BLVD
SUITE 3419
LAS VEGAS, NV 89107
Title: EXECUTIVE DIRECTOR

Treasurer:

CARY L PETERSON
848 N RAINBOW BLVD
SUITE 3419
LAS VEGAS, Nevada 89107
Title: EXECUTIVE DIRECTOR

Designated Agent(s):

Banks or Depositories

US Bancorp
1421 North Jones Boulevard
Las Vegas, Nevada 89108

Signed: CARY L PETERSON
Date Signed: 04/05/2015

FORM TEXT-1

(End FEC FORM 1)

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