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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-121155

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1. DADE COUNTY FIRE FIGHTERS LOCAL 1403 PAC

    8000 NW 21 STREET
    SUITE 222
    MIAMI, FL 33122
    Email: slowe@local1403.org

2. Date: 04/14/2004

3. FEC Committee ID #: C00130187 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Elaine Gillis
8000 NW 21 ST
Miami, FL 33122
Title: Deputy Treasuer
Phone # (305) 593-6100

Treasurer:

STEVEN LOWE
19120 SW 270 ST.
HOMESTEAD, Florida 33031
Title: Treasurer
Phone # (305) 593-6100

Designated Agent(s):

Elaine Gillis
8000 NW 21 ST
Miami, Florida 33122
Title: Deputy Treasurer
Phone # (305) 593-6100

Banks or Depositories

Signed: STEVEN LOWE
Date Signed: 05/25/2004

(End FEC FORM 1)

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