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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-854270

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1. AMERICAN SECURITIZATION FORUM INC POLITICAL ACTION COMMITTEE

    ONE WORLD FINANCIAL CTR FLR 30TH
    NEW YORK, NY 102810006
    Email: tdeutsch@americansecuritization.com;jgacek@americansecuritization.com

    NOTE: Email address is different than previously reported

2. Date: 02/01/2013

3. FEC Committee ID #: C00508085 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

American Securitization Forum Inc
One World Financial Center
30th Floor
New York, New York 102810006
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Thomas Deutsch
One World Financial Center
30th flr
New York, New York 102810006
Title: Treasurer
Phone # (212) 412-7107

Designated Agent(s):

Joshua Gacek
One World Financial Center
30th Floor
New York, New York 102810006
Title: Assistant Treasurer
Phone # (212) 412-7110

Banks or Depositories

Citibank
120 Broadway
New York, New York 10271

Signed: Thomas Deutsch
Date Signed: 02/01/2013

(End FEC FORM 1)

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