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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-409369

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1. HERITAGE PALMS DEMOCRATS

    80-170 Royal Birkdale Dr.
    Indio, CA 92201

    NOTE: Address is different than previously reported

    Email: jpepper@dc.rr.com

    NOTE: Email address is different than previously reported

2. Date: 03/24/2009

3. FEC Committee ID #: C00459867

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

None
None
None
None, ____
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Mitchell Goldstein
80-170 Royal Birkdale Dr.
Indio, CA 92201
Title: Treasurer
Phone # (760) 200-3737

Treasurer:

Mitchell Goldstein
80-170 Royal Birkdale Dr.
Indio, California 92201
Title: Treasurer
Phone # (760) 200-3737

Designated Agent(s):

JoAnn Pepper
80-537 Knightswood Rd.
Indio, California 92201
Title: President
Phone # (760) 200-3737

Banks or Depositories

Palm Desert National Bank
47000 Washington St
La Quinta, California 92253

Signed: Mitchell Goldstein
Date Signed: 03/24/2009

(End FEC FORM 1)

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