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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-118415

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1. Renal Leadership Council Political Action Committee

    601 Pennsylvania Ave. NW
    North Bldg. 10th Floor
    Washington, DC 200042601

    NOTE: Address is different than previously reported

    Fax: 2027563333

2. Date: 04/27/2004

3. FEC Committee ID #: C00326736

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

Affiliated Committees/Organizations

Custodian of Records:

Jonathan Gould
601 Pennsylvania Ave. NW
North Bldg. 10th Floor
Washigton, DC 200042601
Title: Custodian of Records
Phone # (202) 756-3300

Treasurer:

Marilyn Yager
601 Pennsylvania Ave. NW
North Bldg. 10th Floor
Washington, DC 200042601
Title: Treasurer
Phone # (202) 756-3300

Designated Agent(s):

Jonathan Gould
601 Pennsylvania Ave. NW
North Bldg. 10th Floor
Washigton, DC 200042601
Title: Assistant Treasurer
Phone # (202) 756-3300

Banks or Depositories

Century National Bank
1875 I Street NW
Washington, DC 20006

Signed: Marilyn Yager
Date Signed: 04/27/2004
Official Committee FAX: 2027563333

(End FEC FORM 1)

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