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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-331197

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1. California Nurses Association/National Nurses Organizing Committee Federal PAC

    NOTE:Commmittee Name is different than previously reported

    555 Capitol Mall, Suite 1425
    Sacramento, CA 95814

2. Date: 04/11/2008

3. FEC Committee ID #: C00360438 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

California Nurses Association dba National Nurses Organizing Committee
2000 Franklin Street
Oakland, California 94612
Relationship: Connected Organization
Organization Type: Labor Organization

Custodian of Records:

Lance H. Olson
555 Capitol Mall, Suite 1425
Sacramento, CA 95814
Title: Custodian of Records
Phone # (916) 442-2952

Treasurer:

Malinda Markowitz
5899 Paddon Circle
San Jose, California 95123
Title: Treasurer
Phone # (408) 224-1274

Designated Agent(s):

Michael Lighty
2000 Franklin Street
Oakland, California 94612
Title: Assistant Treasurer
Phone # (510) 273-2200

Banks or Depositories

U.S. Bank
980 9th Street
Sacramento, California 95814

Signed: Michael Lighty
Date Signed: 04/08/2008

(End FEC FORM 1)

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