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FEC Form 1 for Referentia Systems Incorporated Political Action CommitteeForm 1 for Referentia Systems Incorporated Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-266192

1. Referentia Systems Incorporated Political Action Committee

    550 Paiea Street Suite 236
    Honolulu, HI 96819

    NOTE: Address is different than previously reported

    Fax: 8084231960
    Email: jtakaezu@referentia.com

2. Date: 11/03/2006

3. FEC Committee ID #: C00408872 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Referentia Systems Incorporated
550 Paiea Street Suite 236
Honolulu, Hawaii 96819
Relationship: Connected
Organization Type: Corporation

Custodian of Records:

Jill Harper
120 Jack Lane
Honolulu, HI 96817

Treasurer:

Jill Harper
120 Jack Lane
Honolulu, Hawaii 96817

Designated Agent(s):

Larry Lieberman
555 Hahaione St.
#PH4
Honolulu, Hawaii 96825

Banks or Depositories

First Hawaiian Bank
1000 Mapunpuna St
Honolulu, Hawaii 96819

Signed: Jill Harper
Date Signed: 12/20/2006
Official Committee FAX: 8084231960

(End FEC FORM 1)


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