FEC Form 1 for MGM MIRAGE PACForm 1 for MGM MIRAGE PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-192509

1. MGM MIRAGE PAC

591 REDWOOD HIGHWAY #4000
MILL VALLEY, CA 94941
Email: sscally@nmgovlaw.com

2. Date: 11/18/2005

3. FEC Committee ID #: C00299321 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

MGM MIRAGE
3400 LAS VEGAS BLVD. SOUTH
LAS VEGAS, Nevada 89109
Relationship: CONNECTED ORGANIZATION
Organization Type: Corporation

METRO-GOLDWYN-MAYER POLITICAL ACTION C
3799 LAS VEGAS BLVD. SOUTH
LAS VEGAS, Nevada 89109
Relationship: AFFILIATED COMMITTEE
Organization Type: Corporation

Custodian of Records:

STEVEN S. LUCAS
591 REDWOOD HIGHWAY BUILDING 4000
MILL VALLEY, CA 94941
Title: Custodian of Records

Treasurer:

STEVEN S. LUCAS
591 REDWOOD HIGHWAY #4000
MILL VALLEY, California 94941
Title: Treasurer
Phone # (415) 389-6800

Designated Agent(s):

JASON D. KAUNE
591 REDWOOD HIGHWAY BUILDING 4000
MILL VALLEY, California 94941
Title: Assistant Treasurer

Banks or Depositories

BANK OF MARIN
50 MADERA BLVD.
CORTE MADERA, California 94925

Bank of Marin
50 Madera Blvd
Corte Madera, California 94925

Signed: STEVEN S. LUCAS
Date Signed: 11/18/2005

(End FEC FORM 1)

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