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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-753849

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1. U.S. Travel Association PAC

    1100 New York Avenue
    Suite 450W
    Washington, DC 20005
    Email: PAC@ustravel.org

    NOTE: Email address is different than previously reported

2. Date: 11/28/2011

3. FEC Committee ID #: C00457754 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

U. S. Travel Association
1100 New York Ave. Ste 450W
Washington, DC 20005
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

David Mimm
1100 New York Ave Suite 450w
Washington, DC 20005
Title: Treasurer

Designated Agent(s):

Michelle Tuffin
1100 New York Avenue NW
Suite 450W
Washington, DC 200053934
Title: Designated Agent

Banks or Depositories

PNC Bank
1100 H St NW
Washington, ____ 200050.00

Signed: David Mimm
Date Signed: 11/29/2011

(End FEC FORM 1)

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