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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-756891

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1. WESTERN REPRESENTATION PAC

    4856 E. Baseline Rd. Suite 104
    Mesa, AZ 85206
    Email: roger@westernpac.org

2. Date: 12/20/2011

3. FEC Committee ID #: C00461772

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Roger Stockton
1811 Newman Pl
Carson City, NV 89703
Title: Treasurer
Phone # (775) 313-5800

Treasurer:

Roger Stockton
1811 Newman Pl
Carson City, Nevada 89703
Title: Treasurer
Phone # (775) 313-5800

Designated Agent(s):

Dan Backer
PO BOX 75021
Washington, DC 20013
Title: Asst. Treasurer
Phone # (202) 210-5431

Banks or Depositories

Nevada State Bank
1525 E College Pkw
Carson City, Nevada 89706

Signed: Roger Stockton
Date Signed: 01/10/2012
Official Committee URL: www.westernpac.org

FORM TEXT

(End FEC FORM 1)

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