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FEC Disclosure Form 1M for Our Common Values PACForm 1M for Our Common Values PAC

FEC FORM 1M

NOTIFICATION OF MULTICANDIDATE STATUS

FILING FEC-137238


1. Our Common Values PAC

101 West Grand Ave
Suite 200
Chicago, IL 60610

2. FEC Committee ID #: C00399014

3. This is NOT 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) Friends for Baron Hill
House of Representatives
Indiana/9
05/03/2004
(ii) Friends of Congressman Tim Holden
House of Representatives
Pennsylvania/17
05/03/2004
(iii) Max Sandlin for Congress
House of Representatives
Texas/1
05/03/2004
(iv) Lampson for Congress
House of Representatives
Texas/9
05/03/2004
(v) Chet Edwards for Congress
House of Representatives
Texas/11
05/03/2004

(b) Contributors: The committee received a contribution from its 51st contributor on: 09/20/2004

(c) Registration: The committee has been registered for at least 6 months. FEC FORM 1 was submitted on: 04/07/2004

(d) Qualification: The committee met the above requirements on: 10/07/2004

Treasurer: John H. Simpson
Date Signed: 10/07/2004

(End FEC FORM 1M)


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