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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-749611

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1. Kleinfelder Group Political Action Committee

    5015 Shoreham Place
    San Diego, CA 92122
    Email: dgordon@dpcweb.org

    NOTE: Email address is different than previously reported

2. Date: 10/18/2011

3. FEC Committee ID #: C00463943 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Kleinfelder Group
5015 Shoreham Place
San Diego, California 92122
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

William C. Siegel
5015 Shoreham Place
San Diego, California 92122
Title: CEO

Designated Agent(s):

Debra Cohen Gordon
5705 Trafton Place
Bethesda, Maryland 20817
Title: Assistant Treasurer
Phone # (301) 455-0822

Banks or Depositories

US Bank
4747 Executive Drive
San Diego, California 92121

Signed: William C. Siegel
Date Signed: 10/18/2011

FORM TEXT

(End FEC FORM 1)

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