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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-122911

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1. National Italian American Political Action Committee

    1205 Locust Street
    Suite 100
    Philadelphia, PA 19107
    Fax: 8565460142
    Email: atty_cpa@netzero.com

2. Date: 06/17/2004

3. FEC Committee ID #: C00355388

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:

Treasurer:

J.D. ANTHONY N. MALLACE CPA
109 W. MERCHANT ST
AUDUBON, New Jersey 08106

Designated Agent(s):

J.D. ANTHONY N. MALLACE CPA
109 W. MERCHANT ST
AUDUBON, New Jersey 08106

Banks or Depositories

Signed: J.D. ANTHONY N. MALLACE CPA
Date Signed: 06/17/2004
Official Committee URL: www.nia-pac.com
Official Committee FAX: 8565460142

(End FEC FORM 1)

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