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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-71666

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1. Motorola Civic Action Campaign Fund

    1350 I Street N.W. Suite #400
    Washington, DC 20005

2. Date: 01/21/2003

3. FEC Committee ID #: C00075341 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

JOAN PICCOLO
1342 WINDY HILL ROAD
MC LEAN, VA 22101

Treasurer:

Bruce Forsberg
1303 E. Algonquin Road
Schaumburg, Illinois 60196

Designated Agent(s):

Banks or Depositories

Signed: Bruce Forsberg
Date Signed: 01/21/2003

(End FEC FORM 1)

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