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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-384917

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1. Nevada State Democratic Party

    409 Horn Street
    Las Vegas, NV 89107
    Fax: 7027352700
    Email: janchurch567@aol.com

2. Date: 11/17/2008

3. FEC Committee ID #: C00208991 This committee is a State committee of the Democratic Party Party.

Affiliated Committees/Organizations

Committee ID# C00208991
Nevada State Democratic Party
409 Horn St.
Las Vegas, Nevada 89107

Committee ID# C00452706
Committee For Change
430 South Capitol Street, SE
Washington, DC 20003
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

409 Horn St.
Las Vegas, NV 89107
Title: Treasurer
Phone # (702) 824-1960

Treasurer:

Jan Churchill
409 Horn St.
Las Vegas, Nevada 89107
Title: Treasurer
Phone # (702) 824-1960

Designated Agent(s):

Banks or Depositories

Nevada State Bank
3480 West Sahara Ave.
Las Vegas, Nevada 89102

Nevada State Bank-Campaign for Change
3480 West Sahara
Las Vegas, Nevada 89102

Signed: Jan Churchill
Date Signed: 11/17/2008
Official Committee URL: www.nvdems.com
Official Committee FAX: 7027352700

(End FEC FORM 1)

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