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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-107285

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1. Tenth Congressional District Democratic Committee

    230 North Avenue
    Suite10
    Mt. Clemens, MI 48043
    Fax: 5864633305
    Email: sgieleghem@ameritech.net

2. Date: 01/31/2004

3. FEC Committee ID #: C00033431 This committee is a committee of the Local Party.

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Sara Harrod Gieleghem
38134 Sarnette
Clinton Township, Michigan 48036
Title: Treasurer
Phone # (586) 954-4815

Designated Agent(s):

Banks or Depositories

Signed: Sara Harrod Gieleghem
Date Signed: 01/31/2004
Official Committee FAX: 5864633305

(End FEC FORM 1)

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