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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-515672

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1. Congressional Black Caucus PAC

    455 Massachusetts Avenue NW
    #150-355
    Washington, DC 20001
    Email: info@cbcpac.org

2. Date: 11/04/2010

3. FEC Committee ID #: C00147512

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Earl Jenkins
1050 17th Street NW
Suite 600
Washington, DC 20036
Title: Treasurer
Phone # (202) 699-8091

Treasurer:

Earl Jenkins
1050 17th Street NW
Suite 600
Washington, DC 20036
Title: Treasurer
Phone # (202) 699-8091

Designated Agent(s):

Banks or Depositories

Bank of America
PO Box 25118
Tampa, Florida 33622

Industrial Bank
1317 F Street NW
Washington, DC 20004

Signed: Earl Jenkins
Date Signed: 11/04/2010

(End FEC FORM 1)

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