FEC Form 1 for CAP-PAC separate segregated fund of National Community Action Foundation, Inc.Form 1 for CAP-PAC separate segregated fund of National Community Action Foundation, Inc.

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-409190

1. CAP-PAC separate segregated fund of National Community Action Foundation, Inc.

1 Massachusetts Avenue, NW
Suite 310
WASHINGTON, DC 20001
Email: kelliebaker@ncaf.org

2. Date: 03/20/2009

3. FEC Committee ID #: C00163048 This committee is a separate segregated fund. Its connected organization is a

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

, ____

Designated Agent(s):

Banks or Depositories

Signed: David Bradley
Date Signed: 03/20/2009

(End FEC FORM 1)

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