FEC Form 1 for Lincoln Club of Northern California Federal PACForm 1 for Lincoln Club of Northern California Federal PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-477733

1. Lincoln Club of Northern California Federal PAC

20 Park Road, Suite E
Burlingame, CA 94010
Email: kirk.pessner@millerpoliticallaw.com

2. Date: 07/08/2010

3. FEC Committee ID #: C00148882 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Lincoln Club of Northern California
3501 California St. Suite 200A
San Francisco, California 94118
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Kirk Alan Pessner
20 Park Rd Ste E
Burlingame, CA 94010
Title: Treasurer

Treasurer:

Kirk Alan Pessner
20 Park Rd Ste E
Burlingame, California 94010
Title: Treasurer
Phone # (650) 401-8735

Designated Agent(s):

Luis P. Buhler
3501 California St Ste 200A
San Francisco, California 94118
Title: Assistant Treasurer
Phone # (415) 422-0450

Banks or Depositories

Borel Private Bank & Trust Co.
160 Bovet Road
San Mateo, California 94402

Signed: Kirk Alan Pessner
Date Signed: 07/08/2010

(End FEC FORM 1)

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