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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-442139

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1. Lincoln Diaz-Balart for Congress

    1001 Brickell Bay Drive
    9th Floor
    Miami, FL 33131

    NOTE: Address is different than previously reported

    Email: etorgas@mbafcpa.com

    NOTE: Email address is different than previously reported

2. Date: 12/16/2009

3. FEC Committee ID #: C00264028 This committee is a Principal Campaign Committee. Candidate: Lincoln Diaz-Balart
Party: Republican Party
Office Sought: House of Representatives
State is Florida in District: 21

Affiliated Committees/Organizations

Committee ID# C00439760
DB Victory 2010
95 Merrick Way
Suite 250
Coral Gables, Florida 33134
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00439760
DB VICTORY
95 Merrick Way, Suite 250
Coral Gables, Florida 33134
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Cristina Diaz-Balart
8770 Sunset Drive
#421
Miami, FL 33173
Title: Custodian
Phone # (305) 790-6408

Treasurer:

Antonio L. Argiz
1001 Brickell Bay Drive
9th Floor
Miami, Florida 33131
Title: Treasurer
Phone # (305) 373-5500

Designated Agent(s):

Cristina Diaz-Balart
8770 Sunset Drive
#421
Miami, Florida 33173
Phone # (305) 790-6408

Jeanine Riesco
95 Merrick Way, Suite 250
Coral Gables, Florida 33134
Phone # (305) 445-0777

Banks or Depositories

Bank of America
701 Brickell Avenue
Miami, Florida 33131

Great Florida Bank
150 Alhambra Circle
Coral Gables, Florida 33134


Bank United
255 Alhambra Circle
Coral Gables, Florida 33134

Signed: Antonio L. Argiz
Date Signed: 12/16/2009

(End FEC FORM 1)

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