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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-272291

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1. CITIZENS CLUB FOR GROWTH INC PAC

    NOTE:Commmittee Name is different than previously reported

    2001 L St. NW
    Suite 675
    WASHINGTON, DC 20036
    Email: adamrozansky@hotmail.com

2. Date: 01/29/2007

3. FEC Committee ID #: C00346536 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Citizens Club for Growth Inc.
2001 L St. NW Ste. 675
Washington, DC 20036
Relationship: connected
Organization Type: Membership Organization

Custodian of Records:

Mr. Adam Rozansky
2001 L St. NW
Ste. 675
Washington, DC 20036
Title: Assistant Treasurer

Treasurer:

Pat Toomey
2001 L St. NW
Ste. 675
Washington, DC 20036
Title: President/Treasurer

Designated Agent(s):

Mr. Adam Rozansky
2001 L St. NW
Ste. 675
Washington, DC 20036
Title: Assistant Treasurer

Banks or Depositories

SunTrust Bank
1445 New York Ave. NW
Washington, DC 20005

Signed: Pat Toomey
Date Signed: 01/29/2006

(End FEC FORM 1)

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