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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-522553

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1. Campaign for Change

    202 Bonham Rd
    Dedham, MA 02026
    Email: info@campaign-4-change.org

2. Date: 12/03/2010

3. FEC Committee ID #: C00441501

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
     In addition, this committee is a Leadership PAC.

Affiliated Committees/Organizations

William D. Delahunt
9 Ketch Ln
Quincy, Massachusetts 02171
Affiliated Relationship Code: Leadership PAC Sponsor

Custodian of Records:

Nickolai Bobrov
202 Bonham Rd
Dedham, MA 02026
Title: Treasurer

Treasurer:

Nickolai Bobrov
202 Bonham Rd
Dedham, Massachusetts 02026
Title: Treasurer
Phone # (310) 955-0716

Designated Agent(s):

David N Martin
202 Bonham Rd
Dedham, Massachusetts 02026
Title: Asst. Treasurer
Phone # (781) 686-9199

Banks or Depositories

Citizens Bank
73 Tremont St
Boston, Massachusetts 02108

Fidelity Investments
PO Box 770001
Cincinnati, Ohio 45277

Signed: Nickolai Bobrov
Date Signed: 12/03/2010

(End FEC FORM 1)

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