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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-101660

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1. Northern Lights Political Action Committee

    1155 21st Street NW
    Suite 300
    Washington, DC 20036
    Email: bwbonfiglio@wms-jen.com

2. Date: 12/17/2003

3. FEC Committee ID #: C00331827

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

Affiliated Committees/Organizations

Alaska Senators Committee
PO Box 100847
Anchorage, Alaska 995100847
Relationship: Joint Fundraising Committee

Custodian of Records:

Barbara Bonfiglio
1155 21st Street NW
Suite 300
Washington, DC 20036
Title: Asst. Treasurer
Phone # (202) 659-8201

Treasurer:

Richard Ladd
1537 Shipsview Road
Annapolis, Maryland 21401
Title: Richard Ladd
Phone # (202) 371-1196

Designated Agent(s):

Barbara Bonfiglio
1155 21st Street NW
Suite 300
Washington, DC 20036
Title: Assistant Treasurer
Phone # (202) 659-8201

Banks or Depositories

National Capitol Bank
Pennsylvania Avenue NW
Washington, DC

Signed: Richard Ladd
Date Signed: 12/17/2003

(End FEC FORM 1)

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