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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1057660

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1. SUPIMA POLITICAL ACTION COMMITTEE-SUPAC

    4141 E, BROADWAY
    PHOENIX, AZ 85040
    Email: nancy@supima.com

2. Date: 03/29/2016

3. FEC Committee ID #: C00038927 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

NANCY F BOYD
4141 E BROADWAY RD
PHOENIX, AZ 85040
Title: OFFICE MANAGER
Phone # (602) 792-6002

Treasurer:

MARC A LEWKOWITZ
4141 E. BROADWAY RD.
PHOENIX, Arizona 85040
Title: TREASURER
Phone # (602) 792-6002

Designated Agent(s):

Banks or Depositories

J. P. MORGAN CHASE
2528 W. SOUTHERN AVE.
PHOENIX, Arizona 85040

Signed: MARC A LEWKOWITZ
Date Signed: 03/29/2016

(End FEC FORM 1)

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