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FEC Disclosure Form 1M for Team America PACForm 1M for Team America PAC

FEC FORM 1M

NOTIFICATION OF MULTICANDIDATE STATUS

FILING FEC-134659


1. Team America PAC

501 Church Street #217
Vienna, VA 22180

2. FEC Committee ID #: C00396291

3. This is 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) Joseph Matthew Throckmorton
House of Representatives
Utah/3
08/19/2004
(ii) Vernon Lucius Robinson
House of Representatives
North Carolina/5
08/19/2004
(iii) Timothy John Escobar
House of Representatives
California/39
08/19/2004
(iv) Thomas Edmunds Price
House of Representatives
Georgia/6
08/19/2004
(v) Kris Kobach
House of Representatives
Kansas/3
08/19/2004

(b) Contributors: The committee received a contribution from its 51st contributor on: 05/05/2004

(c) Registration: The committee has been registered for at least 6 months. FEC FORM 1 was submitted on: 02/17/2004

(d) Qualification: The committee met the above requirements on: 08/17/2004

Treasurer: Sharon Korchnak
Date Signed: 09/14/2004

(End FEC FORM 1M)


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