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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-768685

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1. FLORIDA DELIVERS LEADERSHIP PAC

    PO Box 70980
    Washington, DC 20024
    Email: admin@evanskatz.com

2. Date: 02/22/2012

3. FEC Committee ID #: C00450247

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

Candidate ID# H2FL03056
Rep. Corrine Brown
PO Box 40089
Jacksonville, Florida 32203
Affiliated Relationship Code: Leadership PAC Sponsor

Custodian of Records:

Diane Evans
PO Box 70980
Washington, DC 20024
Title: Custodian of Records
Phone # (202) 548-0880

Treasurer:

Dorothy Wynn
1700 Windermere Down Place
Windermere, Florida 34786
Title: Treasurer
Phone # (407) 294-1900

Designated Agent(s):

Eddie Moore
615 Elizabeth Oak Court
Alpharetta, Georgia 30004
Title: Asst. Treasurer
Phone # (678) 867-0977

Banks or Depositories

PNC Bank
1799 Columbia Road NW
Washington, DC 20009

Signed: Dorothy Wynn
Date Signed: 03/02/2012

(End FEC FORM 1)

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