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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-951131

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1. CounterPAC

    3855 25th Street
    San Francisco, CA 94114
    Email: zack@counterpac.org

    NOTE: Email address is different than previously reported

2. Date: 09/17/2014

3. FEC Committee ID #: C00566778

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:

Zack Booth Simpson
3202 Hemphill Park
Austin, TX 78705
Title: Treasurer

Treasurer:

Zack Booth Simpson
3202 Hemphill Park
Austin, Texas 78705
Title: Treasurer

Designated Agent(s):

Banks or Depositories

JPMorgan Chase Bank, N.A.
P.O. Box 659754
San Antonio, Texas 78265

Signed: Zack Booth Simpson
Date Signed: 09/17/2014
Official Committee URL: counterpac.org

(End FEC FORM 1)

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