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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-503626

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1. Jochum Shore & Trossevin PAC

    NOTE:Commmittee Name is different than previously reported

    1100 H Street, NW #910
    Washington, DC 20005
    Email: ashore@jstpc.com

2. Date: 09/10/2010

3. FEC Committee ID #: C00483420 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Jochum Shore & Trossevin, PC
1100 H Street NW #910
Washington, DC 20005
Affiliated Relationship Code: Connected Organization

Custodian of Records:

James Jochum
10336 Southam Lane
Oakton, VA 22124
Title: Designated Agent
Phone # (202) 281-4886

Treasurer:

Mr. Shore Andrew
5904 North 22nd Street
Arlington, Virginia 22205
Title: Treasurer
Phone # (202) 375-3625

Designated Agent(s):

James Jochum
10336 Southam Lane
Oakton, Virginia 22124

Banks or Depositories

Chain Bridge Bank
1445-A Laughlin Avenue
McLean, Virginia 22101

Signed: Mr. Shore Andrew
Date Signed: 10/18/2010
Official Committee URL: http://www.jstpc.com

(End FEC FORM 1)

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