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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-751352

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1. Mission PAC

    PO Box 70980
    Washington, DC 20024
    Email: admin@evanskatz.com

    NOTE: Email address is different than previously reported

2. Date: 10/28/2011

3. FEC Committee ID #: C00465112

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
     In addition, this committee is a Leadership PAC.

Affiliated Committees/Organizations

Lois G Capps
1724 Santa Barbara St
Santa Barbara, California 93101
Affiliated Relationship Code: Leadership PAC Sponsor

Custodian of Records:

Don Ernst
1020 Palm St
San Luis Obispo, CA 93401
Title: Treasurer
Phone # (805) 541-0300

Treasurer:

Don Ernst
1020 Palm St
San Luis Obispo, California 93401
Title: Treasurer
Phone # (805) 541-0300

Designated Agent(s):

Bob Burns
1187 Coast Village Rd #1-195
Santa Barbara, California 93108
Title: Assistant Treasurer
Phone # (805) 565-0157

Banks or Depositories

PNC
650 Pennsylvania Ave SE
Washington, DC 20003

Signed: Don Ernst
Date Signed: 10/28/2011

(End FEC FORM 1)

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