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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-734220

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1. Terra-Gen Political Action Committee (TERRA-GEN PAC)

    1095 Avenue of the Americas
    25th Floor Suite A
    New York, NY 10036
    Email: terragenpac@gmail.com

2. Date: 07/08/2011

3. FEC Committee ID #: C00494716

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:

Carrie Lackey
1095 Avenue of the Americas
25th Floor, Suite A
New York, NY 10036
Title: Custodian of Records
Phone # (646) 829-3900

Treasurer:

Charles Carroll
1095 Avenue of the Americas
25th Floor, Suite A
New York, New York 10036
Title: Treasurer
Phone # (646) 829-3900

Designated Agent(s):

Carrie Lackey
1095 Avenue of the Americas
25th Floor, Suite A
New York, New York 10036
Title: Assistant Treasurer
Phone # (646) 829-3900

Banks or Depositories

Citi Private Bank
Citibank, N.A.
666 Fifth Avenue
New York, New York 10103

Signed: Charles Carroll
Date Signed: 07/12/2011

(End FEC FORM 1)

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