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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-801770

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1. Dirigo PAC

    PO Box 1355
    Alexandria, VA 22313
    Email: ted@kochandhoos.com

    NOTE: Email address is different than previously reported

2. Date: 07/27/2012

3. FEC Committee ID #: C00391797

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
     In addition, this committee is a Leadership PAC.

Affiliated Committees/Organizations

Senator Susan M. Collins
223 Nowell Rd
Bangor, Maine 04401
Affiliated Relationship Code: Leadership PAC Sponsor

Custodian of Records:

Theodore V. Koch
901 N Washington St Suite 700
Alexandria, VA 22314
Title: Assistant Treasurer
Phone # (703) 299-8570

Treasurer:

Avery T. Day
PO Box 1355
Alexandria, Virginia 22313
Title: Treasurer
Phone # (857) 998-2496

Designated Agent(s):

Theodore V. Koch
901 N Washington St Suite 700
Alexandria, Virginia 22314
Title: Assistant Treasurer
Phone # (703) 299-8570

Banks or Depositories

Wells Fargo
330 N Washington St
Alexandria, Virginia 22314

Signed: Avery T. Day
Date Signed: 07/27/2012

(End FEC FORM 1)

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