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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-34613

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1. Jacobs Good Government Fund

    NOTE:Commmittee Name is different than previously reported

    1111 South Arroyo Parkway
    Pasadena, CA 91105
    Email: dan.shelhamer@jacobs.com

2. Date: 06/06/1981

3. FEC Committee ID #: C00142299 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

, ____

Designated Agent(s):

Banks or Depositories

Signed: William C. Markley, III
Date Signed: 04/23/2002

(End FEC FORM 1)

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