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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-116228

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1. Macomb County Democratic Committee

    230 North Avenue Suite 12
    Mt Clemens, MI 48043
    Fax: 5864633305
    Email: macombdems@ameritech.net

2. Date: 04/14/2004

3. FEC Committee ID #: C00354332 This committee is a committee of the Local Party.

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Jerry Moffitt
230 North Ave Suite 12
Mt. Clemens, Michigan 48043
Title: Treasurer
Phone # (586) 463-5335

Designated Agent(s):

Banks or Depositories

Community Central Bank
PO Box 7
Mt. Clemens, Michigan 48046

National City Bank
PO Box 8043
Royal Oak, Michigan 48068

Signed: Jerry Moffitt
Date Signed: 04/15/2004
Official Committee FAX: 5864633305

(End FEC FORM 1)

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