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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-123882

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1. MZM INC. PAC

    1523 New Hampshire Avenue NW
    Washington, DC 20036
    Fax: 2025185241
    Email: joneil@mzminc.com

2. Date: 06/29/2004

3. FEC Committee ID #: C00369884 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

MZM Inc.
1523 New Hampshire Ave. NW
Washington, DC 20036
Relationship: connected org.
Organization Type: Corporation

Custodian of Records:

Ms. Jeanne O'Neil
1523 New Hampshire Ave. NW
Washington, DC 20036
Title: Treasurer
Phone # (202) 518-5240

Treasurer:

Ms. Jeanne O'Neil
1523 New Hampshire Ave. NW
Washington, DC 20036
Title: Treasurer
Phone # (202) 518-5240

Designated Agent(s):

Banks or Depositories

SunTrust Bank
P.O. Box 6622227
Orlando, Florida 328622227

Signed: Ms. Jeanne O'Neil
Date Signed: 06/29/2004
Official Committee FAX: 2025185241

(End FEC FORM 1)

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