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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-267178

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1. Van Ness Feldman P.C. Political Action Committee

    1050 Thomas Jefferson Street NW
    Washington, DC 20007
    Fax: 2023382361
    Email: cjr@vnf.com

2. Date: 01/04/2007

3. FEC Committee ID #: C00205369 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Caroline J. Roach
One 9th Street SE
Apt. 3
Washington, DC 20003
Title: Legislative Asst
Phone # (202) 298-1980

Treasurer:

Thomas Roberts
1546 N. Ivanhoe Street
Arlington, Virginia 22205
Title: Member
Phone # (202) 298-1930

Designated Agent(s):

Banks or Depositories

Signed: Thomas Roberts
Date Signed: 01/04/2007
Official Committee URL: www.vnf.com
Official Committee FAX: 2023382361

(End FEC FORM 1)

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