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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-764899

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1. Silver State 21st Century PAC

    7437 S. Eastern Avenue
    Suite 427
    Las Vegas, NV 89123

    NOTE: Address is different than previously reported

    Email: steven@shelleyberkley.com

2. Date: 01/01/2012

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.
     In addition, this committee is a Leadership PAC.

Affiliated Committees/Organizations

Candidate ID# H8NV01071
Shelley Berkley
7437 S. Eastern Avenue
Suite 427
Las Vegas, Nevada 89123
Affiliated Relationship Code: Leadership PAC Sponsor

Custodian of Records:

Mr. Steven W. Mele
7437 S. Eastern Avenue
Suite 427
Las Vegas, NV 89123
Title: Custidian of Record
Phone # (702) 675-6709

Treasurer:

Mr. Steven W. Mele
7437 S. Eastern Avenue
Suite 427
Las Vegas, Nevada 89123
Title: Treasurer
Phone # (702) 675-6709

Designated Agent(s):

Mr. Steven W. Mele
7437 S. Eastern Avenue
Suite 427
Las Vegas, Nevada 89123
Title: Agent
Phone # (702) 675-6709

Banks or Depositories

Bank of Nevada
P. O. Box 26237
Las Vegas, Nevada 89195

Signed: Mr. Steven W. Mele
Date Signed: 02/07/2012

(End FEC FORM 1)

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