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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-418105

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1. Hoosier Political Action Committee

    P.O. Box 77089
    Washington, DC 20013
    Email: bitkel@aol.com

2. Date: 04/18/2008

3. FEC Committee ID #: C00338848

Affiliated Committees/Organizations

Custodian of Records:

Elizabeth A. Tapia
8134 E. 50th Street
Indianapolis, IN 46226
Title: Secretary
Phone # (317) 418-1770

Treasurer:

Gilead Kapen
P.O. Box 77089
Washington, DC 20013
Title: Treasurer
Phone # (703) 200-6695

Designated Agent(s):

Gilead Kapen
P.O. Box 77089
Washington, DC 20013
Title: Treasurer
Phone # (703) 200-6695

Banks or Depositories

Suntrust Bank
P.O. Box 622227
Orlando, Florida 0

Signed: Gilead Kapen
Date Signed: 04/18/2008

(End FEC FORM 1)

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