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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-482909

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1. Bera for Congress

    Post Office Box 582496
    Elk Grove, CA 95758
    Email: beraforcongress@gmail.com

2. Date: 07/19/2010

3. FEC Committee ID #: C00461061 This committee is a Principal Campaign Committee. Candidate: Amerish Bera
Party: Democratic Party
Office Sought: House of Representatives
State is California in District: 03

Affiliated Committees/Organizations

Committee ID# C00486035
Ami Bera for CD3 Fund
5429 Madison Avenue
Sacramento, California 95841
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00479139
Jared Polis Majority Fund
Post Office Box 1174
Springfield, Virginia 22151
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00484394
Bera Victory Fund 2010
430 S. Capitol St., SE, 2nd Flr.
Washington, DC 20003
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Rita Copeland
5429 Madison Avenue
Sacramento, CA 95841
Title: Custodian of Records
Phone # (916) 348-9100

Treasurer:

Rita Copeland
5429 Madison Avenue
Sacramento, California 95841
Title: Treasurer
Phone # (916) 348-9100

Designated Agent(s):

None

Banks or Depositories

North Valley Bank
378 N Sunrise Blvd.
Roseville, California 95661

Bank of America
730-15th Street, NW
Washington, DC 20005

Signed: Rita Copeland
Date Signed: 07/19/2010

(End FEC FORM 1)

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