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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-104692

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1. NAMIC CAP

    122 C Street NW
    Suite 540
    Washington, DC 20001
    Fax: 202-628-1601
    Email: dwinston@namic.org

2. Date: 01/29/2002

3. FEC Committee ID #: C00170258 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

David A. Winston
122 C Street NW
Suite 540
Washington, DC 20001
Title: Treasurer
Phone # (202) 628-1558

Designated Agent(s):

Banks or Depositories

Signed: David A. Winston
Date Signed: 01/26/2004
Official Committee FAX: 202-628-1601

(End FEC FORM 1)

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