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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-266657

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1. Silver State 21st Century PAC

    3069 Conquista Ct.
    Las Vegas, NV 89121
    Fax: 7027342887
    Email: rlg5@cox.net

2. Date: 12/28/2006

3. FEC Committee ID #: C00364901

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:

Martin S. Loeb
3069 Conquista Ct.
Las Vegas, NV 89121
Title: Custidian of Record
Phone # (702) 734-2887

Treasurer:

Martin S. Loeb
3069 Conquista Ct.
Las Vegas, Nevada 89121
Title: Treasurer
Phone # (702) 734-2887

Designated Agent(s):

Linda L. Goldberg
3069 Conquista Ct.
Las Vegas, Nevada 89121
Title: Deputy Treasurer
Phone # (702) 734-2887

Banks or Depositories

SouthwestUSA Bank
4043 S. Eastern Ave.
Las Vegas, Nevada 89119

Signed: Martin S Loeb
Date Signed: 12/28/2006
Official Committee FAX: 7027342887

(End FEC FORM 1)

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