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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-883317

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1. MAPLE PAC

    P.O. Box 5564
    Burlington, VT 05402
    Email: meredith.woodside@gmail.com

2. Date: 04/18/2013

3. FEC Committee ID #: C00542621

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
     In addition, this committee is a Leadership PAC.

Affiliated Committees/Organizations

Peter Welch
P.O. Box 1682
Burlington, Vermont 05402
Affiliated Relationship Code: Leadership PAC Sponsor

Custodian of Records:

Meredith Woodside
P.O. Box 5564
Burlington, VT 05402
Title: Compliance Director

Treasurer:

Mary Sullivan
84 Caroline St.
Burlington, Vermont 05401
Title: Treasurer
Phone # (802) 598-8139

Designated Agent(s):

Banks or Depositories

Merchants Banck
164 College St.
Burlington, Vermont 05401

Signed: Mary Sullivan
Date Signed: 07/31/2013

(End FEC FORM 1)

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