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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-134352

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1. Wine Institute Political Action Committte

    607 14th Street NW
    Suite 800
    Washington, DC 20005

    NOTE: Address is different than previously reported

    Fax: 2024341690

2. Date: 09/10/2004

3. FEC Committee ID #: C00065219 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Sara Hope Murphy
607 14th Street NW
Suite 800
Washington, DC 20005
Title: Treasurer
Phone # (202) 434-1658

Treasurer:

Sara Hope Murphy
607 14th Street NW
Suite 800
Washington, DC 20005
Title: Treasurer
Phone # (202) 434-1658

Designated Agent(s):

Banks or Depositories

Citibank FSB
1400 G Street NW
Washington, DC 20005

Signed: Sara Hope Murphy
Date Signed: 09/10/2004
Official Committee FAX: 2024341690

(End FEC FORM 1)

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