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FEC Disclosure Form 1M for Mike PACForm 1M for Mike PAC

FEC FORM 1M

NOTIFICATION OF MULTICANDIDATE STATUS

FILING FEC-101175


1. Mike PAC

P.O. Box 65796
Washington, DC 20035

2. FEC Committee ID #: C00383422

3. This is NOT a state party committee

4. STATUS BY AFFILIATION:

The committee submitted its Statement of Organization (FEC FORM 1)
on ________________________ and simultaneously qualified as a multicandidate committee through its
affiliation with:

Committee Name: -
FEC Identification Number: _______________________

5. STATUS BY QUALIFICATION:

(a) Candidates: The committee has made contributions to the five federal candidates listed below:


NameOffice SoughtState/DistrictDate
(i) Chris Chocola
House of Representatives
Indiana/2
03/19/2003
(ii) Jim Gerlach
House of Representatives
Pennsylvania/6
03/19/2003
(iii) Phil Gingrey
House of Representatives
Georgia/11
03/19/2003
(iv) Heather Wilson
House of Representatives
New Mexico/1
06/30/2003
(v) Robin Hayes
House of Representatives
North Carolina/8
06/30/2003

(b) Contributors: The committee received a contribution from its 51st contributor on: 09/08/2003

(c) Registration: The committee has been registered for at least 6 months. FEC FORM 1 was submitted on: 11/18/2002

(d) Qualification: The committee met the above requirements on: 09/08/2003

Treasurer: Mark Valente III
Date Signed: 12/09/2003

(End FEC FORM 1M)


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