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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-136024

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1. Minnesota House DFL Caucus

    255 E Plato Blvd
    St Paul, MN 55107
    Fax: 6512516355

2. Date: 09/23/2004

3. FEC Committee ID #: C00361139 This committee is a Democratic Party committee of the Local Party.

Affiliated Committees/Organizations

Committee ID# C00025254
Minnesota Democratic Farm Labor Party
255 E Plato Blvd
St Paul, Minnesota 55107
Relationship: Affiliate

Custodian of Records:

David Kaplan
255 E Plato Blvd
St Paul, MN 55107
Title: Finance Director
Phone # (651) 251-6341

Treasurer:

Joe Atkins
255 E Plato Blvd
St Paul, Minnesota 55107
Title: Treasurer
Phone # (651) 251-6341

Designated Agent(s):

Banks or Depositories

Affinity Plus Credit Union
175 West Lafayette Road
#1
St Paul, Minnesota 55107

Signed: Joe Atkins
Date Signed: 09/23/2004
Official Committee URL: http://www.housedflcaucus.com
Official Committee FAX: 6512516355

(End FEC FORM 1)

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