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FEC Form 1 for QORVIS COMMUNICATIONS LLC POLITICAL ACTION COMMITTEE 'Q-PAC'Form 1 for QORVIS COMMUNICATIONS LLC POLITICAL ACTION COMMITTEE 'Q-PAC'

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-126885

1. QORVIS COMMUNICATIONS LLC POLITICAL ACTION COMMITTEE 'Q-PAC'

    1201 CONNECTICUT AVE NW SUITE 300
    WASHINGTON, DC 20036
    Fax: 2024961300
    Email: QPAC@qorvis.com

2. Date: 07/14/2004

3. FEC Committee ID #: C00398552 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Qorvis Communications LLC
1201 Connecticut Avenue NW
Suite 300
Washington, DC 20036
Relationship: Connected Organiz.
Organization Type: Corporation

Custodian of Records:

Ms. Elissa Dodge
1201 Connecticut Aveue NW
Suite 300
Washington, DC 20036
Title: Assistant Treasurer
Phone # (202) 448-3152

Treasurer:

Mr. David Whitmore
1201 Connecticut Avenue NW
Suite 300
Washington, DC 20036
Title: Treasurer
Phone # (202) 448-3152

Designated Agent(s):

Ms. Elissa Dodge
1201 Connecticut Aveue NW
Suite 300
Washington, DC 20036
Title: Assistant Treasurer
Phone # (202) 448-3152

Banks or Depositories

UBS Financial Services Inc.
7700 Wisconsin Avenue
Suite 300
Bethesda, Maryland 20314

Signed: Mr. David Whitmore
Date Signed: 07/14/2004
Official Committee FAX: 2024961300

(End FEC FORM 1)


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