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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-870142

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1. DEMOC PAC

    525 E. Seaside Way, #101-C
    Long Beach, CA 90802

    NOTE: Address is different than previously reported

    Email: gary@crummittandassociates.com

    NOTE: Email address is different than previously reported

2. Date: 05/08/2013

3. FEC Committee ID #: C00439646

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:

Gary Crummitt
525 E. Seaside Way, #101-C
Long Beach, CA 90802
Title: Custodian of Records
Phone # (562) 983-0815

Treasurer:

Gary Crummitt
525 E. Seaside Way, #101-C
Long Beach, California 90802
Title: Treasurer
Phone # (562) 983-0815

Designated Agent(s):

Sara Harms
29801 Weatherwood
Laguna Niguel, California 92677
Title: Assistant Treasurer
Phone # (714) 345-0859

Banks or Depositories

California Bank & Trust
525 S. Hope St., #100
Los Angeles, California 90071

Signed: Gary Crummitt
Date Signed: 05/08/2013

(End FEC FORM 1)

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