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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-846038

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1. Laguna Woods Democratic Club

    2306 Via Puerta #A
    Laguna Woods, CA 92637

    NOTE: Address is different than previously reported

    Email: nearinglinda@yahoo.com

    NOTE: Email address is different than previously reported

2. Date: 01/09/2013

3. FEC Committee ID #: C00447185

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 Bennett
2306 Via Puerta #A
Laguna Woods, CA 92637
Title: Treasurer
Phone # (949) 234-0234

Treasurer:

Gary Bennett
2306 Via Puerta #A
Laguna Woods, California 92637
Title: Treasurer
Phone # (949) 234-0234

Designated Agent(s):

Banks or Depositories

US Bank
24340 El Toro Rd
Laguna Woods, California 92637

Signed: Gary Bennet
Date Signed: 01/09/2013

(End FEC FORM 1)

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