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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-292094

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1. DECLARATION ALLIANCE PAC

    2400 EARLSGATE CT
    RESTON, VA 20191
    Fax: 7032642084
    Email: bill@constantinefinancial.com

2. Date: 06/20/2007

3. FEC Committee ID #: C00414888 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

DECLARATION ALLIANCE INC
2400 Earlsgate Court
Reston, Virginia 20191
Relationship: Connected
Organization Type: Corporation W/O Capital Stock

Custodian of Records:

Mary Parker Lewis
4700 Surry Place
Alexandria, VA 22304
Title: Treasurer
Phone # (703) 264-2024

Treasurer:

Mary Parker Lewis
4700 Surry Place
Alexandria, Virginia 22304
Title: Treasurer
Phone # (703) 264-2024

Designated Agent(s):

Mary Parker Lewis
4700 Surry Place
Alexandria, Virginia 22304
Title: Treasurer
Phone # (703) 264-2024

Banks or Depositories

Horizon Capital Bank
3707 Richmond Avenue
Houston, Texas 77046

Signed: Mary Parker Lewis
Date Signed: 06/25/2007
Official Committee URL: www.declarationalliance.net
Official Committee FAX: 7032642084

(End FEC FORM 1)

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