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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-467560

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1. ERICKSON RETIREMENT COMMUNITIES FEDERAL PAC

    C/O GOVERNMENT AFFAIRS
    701 MAIDEN CHOICE LANE
    BALTIMORE, MD 21228
    Email: craig.behm@erickson.com

    NOTE: Email address is different than previously reported

2. Date: 05/10/2010

3. FEC Committee ID #: C00436238 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Erickson Retirement Communities, LLC
701 Maiden Choice Lane
Baltimore, Maryland 21228
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Behm Craig
2402 Hudson St
Baltimore, Maryland 21224
Title: Treasurer
Phone # (410) 402-2393

Designated Agent(s):

Banks or Depositories

Mercantile Bank and Trust
719 Maiden Choice Lane
Baltimore, Maryland 21228

Signed: Behm Craig
Date Signed: 05/10/2010

(End FEC FORM 1)

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