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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1267071

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1. Vision for America

    20 Park Road Suite E
    Burlingame, CA 94010
    Email: kirk.pessner@millerpoliticallaw.com

    NOTE: Email address is different than previously reported

2. Date: 10/11/2012

3. FEC Committee ID #: C00486332

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

Affiliated Committees/Organizations

Jackie Speier
20 Park Road, Suite E
Burlingame, California 94010
Affiliated Relationship Code: Leadership PAC Sponsor

Custodian of Records:

Kirk Alan Pessner
20 Park Rd, Ste E
Burlingame, CA 94010
Title: Assistant Treasurer
Phone # (650) 401-8735

Treasurer:

Russell Miller
20 Park Rd Ste E
Burlingame, California 94010
Title: Treasurer
Phone # (650) 401-8735

Designated Agent(s):

Kirk Alan Pessner
20 Park Rd, Ste E
Burlingame, California 94010
Title: Assistant Treasurer
Phone # (650) 401-8735

Banks or Depositories

US Bank
621 Capitol
Suite 110
Sacramento, California 95814

Wells Fargo
4767 Hopyard Road

Pleasanton, California 94588

Signed: Russell Miller
Date Signed: 10/11/2012
Official Committee URL: None

(End FEC FORM 1)

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