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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-112949

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1. Good Government for America PAC

    Post Office Box 87
    Alexandria, VA 22313

2. Date: 03/25/2004

3. FEC Committee ID #: C00317479

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

Committee ID# C00373829
Over the Hill PAC
131 Temple Lake Drive
Suite 1
Colonial Heights, Virginia 23834
Relationship: JF Representative

Custodian of Records:

Frank F. Sadler
Post Office Box 87
Alexandria, VA 22313
Title: Deputy Treasurer
Phone # (703) 536-4700

Treasurer:

Melinda Anderson
Post Office Box 87
Alexandria, Virginia 22313
Title: Treasurer

Designated Agent(s):

Banks or Depositories

Wachovia Bank
1753 Pinnacle Drive
McLean, Virginia 22102

Signed: Melinda Anderson
Date Signed: 03/25/2004

(End FEC FORM 1)

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