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FEC Form 1 for CGI-AMS INC. POLITICAL ACTION COMMITTEE (CGI-AMS PAC)Form 1 for CGI-AMS INC. POLITICAL ACTION COMMITTEE (CGI-AMS PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-151104

1. CGI-AMS INC. POLITICAL ACTION COMMITTEE (CGI-AMS PAC)

    4000 LEGATO ROAD 7TH FLOOR
    FAIRFAX, VA 22033
    Email: jeffrey.keller@cgi-ams.com

2. Date: 11/18/2004

3. FEC Committee ID #: C00354241 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

CGI-AMS Inc.
4050 Legato Rd.
Fairfax, Virginia 22033
Relationship: Connected
Organization Type: Corporation

Custodian of Records:

Jeffrey Keller
4000 Legato Rd. 7th Fl.
Fairfax, VA 22033
Title: Treasurer
Phone # (703) 267-3325

Treasurer:

Jeffrey Keller
4000 Legato Road 7th Floor
Fairfax, Virginia 22033
Title: Treasurer
Phone # (703) 267-3325

Designated Agent(s):

Banks or Depositories

Bank of America
12011 Lee Jackson Memorial Highway
Fairfax, Virginia 22033

Signed: Jeffrey Keller
Date Signed: 11/18/2004

(End FEC FORM 1)


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