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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-277175

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1. NCR CORPORATION POLITICAL ACTION COMMITTEE (NCRPAC)

    616 H Street N.W.
    Suite 500
    Washington, DC 20001

    NOTE: Address is different than previously reported

2. Date: 02/14/2006

3. FEC Committee ID #: C00324103 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Timothy M. Day
555 Twelfth Street N.W.
Suite 610
Washington, DC 20004

Designated Agent(s):

Banks or Depositories

Signed: Timothy M. Day
Date Signed: 02/14/2006

(End FEC FORM 1)

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