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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-485137

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1. Djou for Hawaii

    P.O. BOX 235280
    HONOLULU, HI 968233504
    Email: charles@djou.com

2. Date: 07/29/2010

3. FEC Committee ID #: C00441451 This committee is a Principal Campaign Committee. Candidate: Charles K Djou
Party: Republican Party
Office Sought: House of Representatives
State is Hawaii in District: 01

Affiliated Committees/Organizations

Committee ID# C00486241
Pacific Victory Committee
228 S. Washington St., Suite 115
Alexandria, Virginia 22314
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Chris S Mashiba
928 Maunawili Road, Apt B
Kailua, HI 96734
Title: Campaign Treasurer
Phone # (808) 391-1883

Treasurer:

Chris S Mashiba
928 Maunawili Road, Apt B
Kailua, Hawaii 96734
Title: Treasurer
Phone # (808) 391-1883

Designated Agent(s):

Banks or Depositories

American Savings Bank
P.O. Box 2300
Honolulu, Hawaii 968042300

BB&T
1909 K Street NW
Washington, DC 20006

Signed: Chris S Mashiba
Date Signed: 07/29/2010
Official Committee URL: djou.com

(End FEC FORM 1)

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