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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-173077

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1. NorthStar Leadership PAC

    PO Box 28754
    St. Paul, MN 55128

    NOTE: Address is different than previously reported

    Fax: 651-649-0486

2. Date: 04/22/2003

3. FEC Committee ID #: C00386573

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:

Jeff Larson
7300 Hudson Blvd. Suite 270A
St. Paul, Minnesota 55128
Title: Treasurer

Designated Agent(s):

Banks or Depositories

Park Midway Bank
2265 Como Ave
St. Paul, Minnesota 55108

Signed: Jeff Larson
Date Signed: 05/02/2005
Official Committee FAX: 651-649-0486

(End FEC FORM 1)

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