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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-800656

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1. CAIR-CA PAC

    11 Largo Street
    Laguna Niguel, CA 92677
    Email: giovanii@campaigntreasurer.com

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:

MehdiReza Hirja
11 Largo Street
Laguna Niguel, CA 92677
Title: Treasurer
Phone # (714) 924-4754

Treasurer:

MehdiReza Hirja
11 Largo Street
Laguna Niguel, California 92677
Title: Treasurer
Phone # (714) 924-4754

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: MehdiReza Hirja
Date Signed: 07/21/2012

(End FEC FORM 1)

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