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FEC Form 1 for COASTPACForm 1 for COASTPAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-198705


1. COASTPAC

    1939 17th Street NW #12
    WASHINGTON, DC 20009
    Fax: 2027751796
    Email: greg.burns@marloweco.com

2. Date: 10/25/2005

3. FEC Committee ID #: C00395566

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:

Gregory Burns
1939 17th Street NW #12
Washington, DC 20009
Title: Director and Founder
Phone # (202) 390-3204

Treasurer:

Gregory Burns
1939 17th Street NW #12
Washington, DC 20009
Title: Director and Founder
Phone # (202) 390-3204

Designated Agent(s):

Banks or Depositories

Wachovia Bank
Connecticut and L Streets NW
Washington, DC 20036

Signed: Gregory Burns
Date Signed: 01/30/2006
Official Committee FAX: 2027751796

(End FEC FORM 1)


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