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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-882010

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1. BLACK REPUBLICAN PAC

    2776 S ARLINGTON MILL DR #806
    ATTN: SCOTT B MACKENZIE
    ARLINGTON, VA 22206

    NOTE: Address is different than previously reported

    Email: scott@FECreports.com

2. Date: 07/28/2013

3. FEC Committee ID #: C00437053

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:

SCOTT B MACKENZIE
2776 S ARLINGTON MILL DR #806
ARLINGTON, VA 22206
Title: TREASURER
Phone # (703) 868-1776

Treasurer:

SCOTT B MACKENZIE
2776 S ARLINGTON MILL DR #806
ARLINGTON, Virginia 22206
Title: TREASURER
Phone # (703) 868-1776

Designated Agent(s):

Banks or Depositories

FIRST VIRGINIA COMMUNITY BANK
11325 RANDOM HILLS RD
FAIRFAX, Virginia 22030

WELLS FARGO BANK
1711 FERN ST
ALEXANDRIA, Virginia 22302

Signed: SCOTT B MACKENZIE
Date Signed: 07/28/2013
Official Committee URL: www.blackrepublicanpac.com

(End FEC FORM 1)

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