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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-768848

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1. CAIR-CA PAC

    11 Largo Street
    Laguna Niguel, CA 92677

    NOTE: Address is different than previously reported

    Email: giovanii@campaigntreasurer.com

    NOTE: Email address is different than previously reported

2. Date: 02/29/2012

3. FEC Committee ID #: C00396556

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Giovanii Jorquera
11 Largo Street
Laguna Niguel, CA 92677
Title: Treasurer
Phone # (949) 433-2936

Treasurer:

Giovanii Jorquera
11 Largo Street
Laguna Niguel, California 92677
Title: Treasurer
Phone # (949) 433-2936

Designated Agent(s):

Ammar Kahf
11 Largo Street
Laguna Niguel, California 92677
Title: Assistant Treasurer
Phone # (714) 388-6755

Banks or Depositories

Union Bank
303 West Grand Avenue
Escondido, California 92025

Signed: Giovanii Jorquera
Date Signed: 03/04/2012

(End FEC FORM 1)

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