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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-105609

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1. GIPAC

    PO Box 16515
    Alexandria, VA 22302
    Fax: 7038320063
    Email: dotterm@yahoo.com

2. Date: 01/29/2004

3. FEC Committee ID #: C00354571

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

Affiliated Committees/Organizations

Custodian of Records:

Mary M. Clancy
704 Fitzhugh Way
Alexandria, VA 22314
Title: Assistant Treasurer
Phone # (703) 684-5028

Treasurer:

Dr. Robert Ganz
15700 37th Avenue North
Suite 300
Plymouth, Minnesota 55446
Title: Treasurer
Phone # (612) 871-1145

Designated Agent(s):

Mary M. Clancy
704 Fitzhugh Way
Alexandria, Virginia 22314
Title: Assistant Treasurer
Phone # (703) 684-5028

Banks or Depositories

Bank of America NA
PO Box 27025
Richmond, Virginia 23261

Signed: Dr. Robert Ganz
Date Signed: 01/29/2004
Official Committee URL: www.gipac.org
Official Committee FAX: 7038320063

(End FEC FORM 1)

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