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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-177670

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1. National Restaurant Association PAC

    1200 17th Street NW
    Washington, DC 20036
    Fax: 2029735374
    Email: vadams@dineout.org

2. Date: 06/30/2005

3. FEC Committee ID #: C00003764 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

National Restaurant Association
1200 17th Street NW
Washington, DC 20036
Relationship: Connected
Organization Type: Membership Organization

Custodian of Records:

Victoria Adams
1200 17th St NW
Washington, DC 20036
Title: Custodian
Phone # (202) 331-5907

Treasurer:

George Margula
1200 17th St NW
Washington, DC 20036
Title: PAC Treasurer

Designated Agent(s):

Ned Monroe
1200 17th St NW
Washington, DC 20036
Title: Asst. Treasurer
Phone # (202) 331-5917

Banks or Depositories

Sun Trust Bank
P.O. Box 85024
Richmond, Virginia 23260

Securities Corp Crestar
P.O. Box 498
Richmond, Virginia 23218

Signed: George Margula
Date Signed: 06/30/2005
Official Committee FAX: 2029735374

(End FEC FORM 1)

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