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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-788738

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1. Davis Democratic Club

    5 Buckeye Street
    Woodland, CA 95695
    Email: gsanborn@att.net

2. Date: 06/05/2012

3. FEC Committee ID #: C00491050

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

Affiliated Committees/Organizations

None
, ____
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Lydia Blais
5 Buckeye Street
Woodland, CA 95695
Title: Treasurer
Phone # (530) 908-4483

Treasurer:

Lydia Blais
5 Buckeye Street
Woodland, California 95695
Title: Treasurer
Phone # (530) 908-4483

Designated Agent(s):

Gregory E. Sanborn
702 Windmill Court
Concord, California 94518
Title: Assistant Treasurer
Phone # (510) 305-7377

Banks or Depositories

Bank of America NT & SA
325 E Street
Davis, California 95616

Signed: Gregory E. Sanborn
Date Signed: 06/05/2012

(End FEC FORM 1)

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