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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-752572

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1. Pass Democratic Club

    1787 Tribute Road, Suite K
    Sacramento, CA 95815

    NOTE: Address is different than previously reported

    Email: info@deaneandcompany.com

    NOTE: Email address is different than previously reported

2. Date: 11/14/2011

3. FEC Committee ID #: C00419747

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

None
, ____

Custodian of Records:

Shawnda Deane
1787 Tribute Road, Suite K
Sacramento, CA 95815
Title: Custodian of Records
Phone # (916) 285-5733

Treasurer:

Shawnda Deane
1787 Tribute Road, Suite K
Sacramento, California 95815
Title: Treasurer
Phone # (916) 285-5733

Designated Agent(s):

None

Banks or Depositories

Community 1st Bank
2250 Douglas Blvd., Suite 190
Roseville, California 95661

Signed: Shawnda Deane
Date Signed: 11/01/2011
Official Committee URL: www.passdems.org

NOTE: URL is different than previously reported

(End FEC FORM 1)

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