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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-911923

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1. LAGUNA BEACH DEMOCRATIC CLUB FEDERAL

    625 GLOMSTAD LANE
    LAGUNA BEACH, CA 92651
    Email: marycarterlaguna@msncom

2. Date: 03/14/2014

3. FEC Committee ID #: C00455683 This committee is a separate segregated fund. Its connected organization is a

Affiliated Committees/Organizations

Custodian of Records:

David Gould
3700 Wilshire Blvd Ste 1050-B
Los Angeles, CA 90010
Phone # (213) 489-4792

Treasurer:

FED Mary Carter
PO Box 610
Laguna Beach, California 92652
Title: Treasurer
Phone # (949) 489-4792

Designated Agent(s):

DAVID L. GOULD
3700 WILSHIRE BLVD., STE. 1050-B
LOS ANGELES, California 90010
Phone # (213) 489-4792

Banks or Depositories

Bank Of America
299 Ocean Ave.
Laguna Beach, California 92651

Signed: DAVID L. GOULD
Date Signed: 03/14/2014

(End FEC FORM 1)

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