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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-756179

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1. America Votes Action Fund

    1155 Connecticut Ave NW
    suite 600
    Washington, DC 20036

    NOTE: Address is different than previously reported

    Email: JFitz-Gerald@americavotes.org

2. Date: 01/03/2012

3. FEC Committee ID #: C00492520

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

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Susan Finkle Sourlis
1155 Connecticit Ave NW
Suite 600
Washington, DC 20036
Title: Assistant Treasurer
Phone # (202) 962-7240

Treasurer:

Joan Fitz-Gerald
1155 Connecticut Ave NW
Suite 600
Washington, DC 20036
Title: Treasurer
Phone # (202) 962-7240

Designated Agent(s):

Banks or Depositories

Bank of America
1500 Pennsylvania Ave NW
Washington, DC 20005

Signed: Joan Fitz-Gerald
Date Signed: 01/03/2012

(End FEC FORM 1)

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