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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-203097

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1. Van Scoyoc Associates Inc. PAC

    101 Constitution Avenue
    Suite 600 West
    Washington, DC 20001

    NOTE: Address is different than previously reported

    Fax: 2026387714

2. Date: 02/17/2006

3. FEC Committee ID #: C00369058 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Van Scoyoc Associates
101 Constitution Avenue NW
Suite 600 West
Washington, DC 20001
Relationship: Connected Org.
Organization Type: Corporation

Custodian of Records:

Sarah McDermond
101 Constitution Avenue NW
Suite 600 West
Washington, DC 20001
Title: Assistant Treasurer
Phone # (202) 638-1950

Treasurer:

Vicki Hicks
1850 47th Place NW
Washington, DC 20007
Title: Treasurer
Phone # (202) 638-1950

Designated Agent(s):

Sarah McDermond
101 Constitution Avenue NW
Suite 600 West
Washington, DC 20001
Title: Assistant Treasurer
Phone # (202) 638-1950

Banks or Depositories

Wachovia Bank
444 North Capitol Street NW
Washington, DC 20001

Signed: Vicki Hicks
Date Signed: 02/17/2006
Official Committee FAX: 2026387714

(End FEC FORM 1)

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