FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-461499
1. 21ST CENTURY SYSTEMS INC (21CSI) PAC
2611 JEFFERSON DAVIS HWY STE 11100ARLINGTON, VA 22202
Email: larry.jackson@21csi.com
NOTE: Email address is different than previously reported
2. Date: 04/15/2010
3. FEC Committee ID #: C00419044 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
21st Century Systems, Inc. (21CSI)2611 Jefferson Davis Highway
Suite 11100
Arlington, Virginia 22202
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Treasurer:
Lawrence Jackson, ____
Title: Treasurer
Phone # (703) 236-6996
Designated Agent(s):
Banks or Depositories
Chevy Chase Bank, ____