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FEC Form 1 for Patriot PACForm 1 for Patriot PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-118732


1. Patriot PAC

    811 Virginia Ave. SE
    Washington, DC 20003
    Fax: 7032642084
    Email: bill@constantinefinancial.com

2. Date: 05/02/2004

3. FEC Committee ID #: C00364422

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:

William Constantine, CPA
2400 Earlsgate Ct
Reston, VA 20191
Title: Treasurer & CFO
Phone # (703) 264-2024

Treasurer:

William Constantine, CPA
2400 Earlsgate Ct
Reston, Virginia 20191
Title: Treasurer & CFO
Phone # (703) 264-2024

Designated Agent(s):

Banks or Depositories

Branch Banking & Trust Co. of Virginia
230 Herndon Parkway
Herndon, Virginia 20191

Signed: William Constantine, CPA
Date Signed: 05/02/2004
Official Committee FAX: 7032642084

(End FEC FORM 1)


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