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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-12754

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1. NATIONAL ASSN OF DENTAL PLANS (NADPAC)

    5001 LBJ FREEWAY SUITE 375
    DALLAS, TX 75244
    Email: tbrown@nadp.org

2. Date: 03/06/2001

3. FEC Committee ID #: C00323659 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

NATIONAL ASSOCIATION OF DENTAL PLANS
5001 LBJ FREEWAY
SUITE 375
DALLAS, Texas 75244
Relationship: CONNECTED
Organization Type: Corporation

Custodian of Records:

COMERICA BANK
PAC SERVICES - MC 2250
P.O. BOX 75000
DETROIT, MI 482752250
Title: RECORDKEEPER
Phone # (248) 371-7269

Treasurer:

EVELYN F. IRELAND
5001 LBJ FREEWAY
SUITE 375
DALLAS, Texas 75244
Title: TREASURER
Phone # (972) 458-6998

Designated Agent(s):

MARTHA DENBAAS
COMERICA BANK - PAC SERVICES
P.O. BOX 75000
DETROIT, Michigan 482752250
Title: RECORDKEEPER
Phone # (248) 371-7269

Banks or Depositories

COMERICA BANK
P.O. 75000
DETROIT, Michigan 482752250

Signed: EVELYN F. IRELAND
Date Signed: 03/15/2001

(End FEC FORM 1)

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