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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-118510

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1. CT Fourth Dems PAC

    c/o Donna I. King 71 Aiken Street
    Q-16
    Norwalk, CT 06851
    Email: dking418@optonline.net

2. Date: 04/26/2004

3. FEC Committee ID #: C00398461

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

Affiliated Committees/Organizations

None
, ____
Relationship: None

Custodian of Records:

Ms Donna King
71 Aiken Street
Q-16
Norwalk, CT 06851
Title: Treasurer
Phone # (203) 846-1009

Treasurer:

Ms Donna King
71 Aiken Street
Q-16
Norwalk, Connecticut 06851
Title: Treasurer
Phone # (203) 846-1009

Designated Agent(s):

Mr Ronald Kowalski
25 Burr Street
Easton, Connecticut 06612
Title: Assistant Treasurer
Phone # (203) 327-2000

Banks or Depositories

Citibank FSB Connecticut
999 High Ridge Road
Stamford, Connecticut 06905

Signed: Ms Donna King
Date Signed: 04/28/2004

(End FEC FORM 1)

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