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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-434407

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1. Democracy for America

    PO Box 1717
    Burlington, VT 05402

    NOTE: Address is different than previously reported

    Email: ecleland@democracyforamerica.com

    NOTE: Email address is different than previously reported

2. Date: 10/07/2009

3. FEC Committee ID #: C00370007

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:

Arshad Hasan
PO Box 1717
Burlington, VT 05402
Title: Assistant Treasurer
Phone # (802) 651-3200

Treasurer:

Arthur Berndt
PO Box 1717
Burlington, Vermont 05402
Title: Treasurer
Phone # (802) 651-3200

Designated Agent(s):

Eileen Cleland
PO Box 1717
Burlington, Vermont 05402
Title: Accountant
Phone # (802) 651-3200

Banks or Depositories

Bank of America
730 15th Street NW
Washington, DC 20005

TD Banknorth NA
111 Main Street
Burlington, Vermont 05401

Merrill Lynch EMA Account
199 Main Street
Burlington, Vermont 05401

Signed: Arthur Berndt
Date Signed: 10/07/2009
Official Committee URL: democracyforamerica.com

(End FEC FORM 1)

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