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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-765037

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1. MBE-PAC, Inc.

    901 Main St. Suite# 6200
    Dallas, TX 75202
    Email: hector@hgarciacpa.com

    NOTE: Email address is different than previously reported

2. Date: 02/08/2012

3. FEC Committee ID #: C00406512 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

MBE-PAC National, Inc.
901 Main St. #6200
Dallas, Texas 75202
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mr. Hector E. Garcia
4751 Hamilton Wolfe, Ste 203
San Antonio, TX 78229
Title: Treasurer
Phone # (210) 492-5522

Treasurer:

Mr. Hector E. Garcia
4751 Hamilton Wolfe, Ste 203
San Antonio, Texas 78229
Title: Treasurer
Phone # (210) 492-5522

Designated Agent(s):

H. Ron White
901 Main Street #6200
Dallas, Texas 75202
Title: Managing Partner
Phone # (214) 665-4150

Banks or Depositories

Compass Bank
8080 N. Central Expressway
Dallas, Texas 75206

Signed: Hector E. Garcia
Date Signed: 02/08/2012
Official Committee URL: www.mbepac.org

(End FEC FORM 1)

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