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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-784585

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1. Make Congress Work Political Action Committee

    1680 Wisconsin Ave
    2nd Floor
    Washington, DC 20007
    Email: mioh@skadden.com

    NOTE: Email address is different than previously reported

2. Date: 05/17/2012

3. FEC Committee ID #: C00329862

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

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Erik Bolog
1680 Wisconsin Ave
2nd Floor
Washington, DC 20007
Title: Treasurer
Phone # (202) 588-1990

Treasurer:

Erik Bolog
1680 Wisconsin Ave
2nd Floor
Washington, DC 20007
Title: Treasurer
Phone # (202) 588-1990

Designated Agent(s):

Kenneth Gross
1440 New York Ave, NW
Washington, DC 20005
Title: Assistant Treasurer
Phone # (202) 371-7000

Banks or Depositories

JPMorgan Chase, N.A.
277 Park Ave.
New York, New York 10172

TD Bank
605 14th St., NW
Washington, DC 20004

Signed: Erik Bolog
Date Signed: 05/17/2012

(End FEC FORM 1)

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