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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-906834

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1. NATIONAL BUSINESS AVIATION ASSOCIATION INC POLITICAL ACTION COMMITTEE (NBAA-PAC)

    1200 G Street, NW
    Suite 1100
    WASHINGTON, DC 20005

    NOTE: Address is different than previously reported

    Email: rdoubrava@nbaa.org

    NOTE: Email address is different than previously reported

2. Date: 01/31/2014

3. FEC Committee ID #: C00319723 This committee is a separate segregated fund. Its connected organization is a Trade Association
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

National Business Aviation Association
1200 18th Street, N.W.
#400
Washington, DC 20036
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Richard J. Doubrava
1200 G Street, N.W.
#1100
Washington, DC 20005
Title: VP - Gov't Affairs
Phone # (202) 737-4485

Treasurer:

Richard J. Doubrava
1200 G Street, N.W.
#1100
Washington, DC 20005
Title: VP - Gov't Affairs
Phone # (202) 737-4485

Designated Agent(s):

Banks or Depositories

Bank of America
730 15th Street, N.W.
Washington, DC 20005

Signed: Richard J. Doubrava
Date Signed: 01/31/2014

(End FEC FORM 1)

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