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FEC Form 1 for BroadwaveUSA Inc.Form 1 for BroadwaveUSA Inc.

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-50369


1. BroadwaveUSA Inc.

    444 North Capitol Street N.W.
    Suite 645
    Washington, DC 20001
    Email: chip.tangen@broadwave.com

2. Date: 09/17/2002

3. FEC Committee ID #: C00357665 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Mr. George M. Tangen, II
444 North Capitol St. NW
Suite 645
Washington, DC 20001
Title: Treasurer
Phone # (202) 737-5711

Treasurer:

Mr. George M. Tangen, II
444 North Capitol St. NW
Suite 645
Washington, DC 20001
Title: Treasurer
Phone # (202) 737-5711

Designated Agent(s):

Ms Geraldine Hawkins
444 North Capitol St. NW
Suite 645
Washington, DC 20001
Title: Assistant Treasurer
Phone # (202) 737-5711

Banks or Depositories

Signed: Mr. George M. Tangen, II
Date Signed: 09/17/2002

FORM TEXT

(End FEC FORM 1)


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