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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1504847

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1. DOCUMENT STORAGE SYSTEMS, INC. (DSS PAC)

    1455 Pennsylvania Ave NW
    Fourth Floor
    WASHINGTON, DC 20004

    NOTE: Address is different than previously reported

    Email: bbanton@dssinc.com

2. Date: 03/18/2021

3. FEC Committee ID #: C00683334 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Committee ID# C00683334
DOCUMENT STORAGE SYSTEMS, INC. (DSS PAC)
1455 Pennsylvania Ave NW
Fourth Floor
WASHINGTON, DC 20004
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Brooks Banton
1455 Pennsylvania AVE NW
Suite 400
Washington, DC 20004

Treasurer:

Brooks Banton
1455 Pennsylvania AVE NW
Suite 400
Washington, DC 20004
Title: Director
Phone # (202) 246-8094

Designated Agent(s):

Brooks Banton
1455 Pennsylvania AVE NW
Suite 400
Washington, DC 20004
Title: Director
Phone # (202) 246-8094

Douglas Virgilio
12575 US Highway One
Suite 200
Juno Beach, Florida 33408

Banks or Depositories

Chain Bridge Bank
1445-A Laughlin Ave
McLean, Virgin Islands 22101

Signed: Brooks Banton
Date Signed: 03/18/2021

(End FEC FORM 1)

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