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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-118656

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1. GRAND CANYON CAUCUS

    3636 N CENTRAL AVE STE 590
    PHOENIX, AZ 850121953

    NOTE: Address is different than previously reported

    Fax: 6022748339
    Email: kporter@policydevelopmentgroup.com

2. Date: 04/29/2004

3. FEC Committee ID #: C00374439

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:

Treasurer:

Irving Shuman
5015 North 7th Avenue
Phoenix, Arizona 85013

Designated Agent(s):

Banks or Depositories

Signed: Irving Shuman
Date Signed: 04/30/2004
Official Committee FAX: 6022748339

(End FEC FORM 1)

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