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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-204248

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1. Placer County Republican Party (Federal Acct.)

    3262 Penryn Road
    # 100
    Loomis, CA 956508858

    NOTE: Address is different than previously reported

    Email: joe@placergop.org

2. Date: 02/27/2006

3. FEC Committee ID #: C00395590 This committee is a Republican Party committee of the Local Party.

Affiliated Committees/Organizations

California Republican Party
1903 W. Magnolia Blvd.
Burbank, California 91506
Relationship: Affiliated State Party Committee

Custodian of Records:

Joseph Dorr
1920 Vista Creek Drive
Roseville, CA 956615847

Treasurer:

Joseph Dorr
1920 Vista Creek Drive
Roseville, California 956615847
Title: Treasurer
Phone # (916) 786-8833

Designated Agent(s):

Banks or Depositories

Placer Sierra Bank
649 Lincoln Way
Auburn, California 95603

Signed: Joseph Dorr
Date Signed: 02/27/2006

(End FEC FORM 1)

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