FEC Form 1 for National Venture Capital Association VenturePACForm 1 for National Venture Capital Association VenturePAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-207967

1. National Venture Capital Association VenturePAC

1655 N. Fort Myer Dr.
Suit 850
Arlington, VA 22209
Fax: 703-524-3940
Email: mmyers@nvca.org

2. Date: 03/23/2006

3. FEC Committee ID #: C00150367 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

National Venture Capital Association
1655 Fort Myer Drive
Suite 850
Arlington, Virginia 22209
Relationship: Connected
Organization Type: Membership Organization

Custodian of Records:

Treasurer:

Mr. Mark Heesen
1655 N. Fort Myer Dr.
Suite 850
Arlington, Virginia 22209
Title: President
Phone # (703) 524-3719

Designated Agent(s):

Molly Myers
1655 Fort Myer Drive
Suite 850
Arlington, Virginia 22209
Title: Vice President for A

Banks or Depositories

Bank of America
1701 North Moore Street
Arlington, Virginia 22209

Signed: Mr. Mark Heesen
Date Signed: 03/23/2006
Official Committee URL: www.nvca.org
Official Committee FAX: 703-524-3940

FORM TEXT

(End FEC FORM 1)

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