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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1252070

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1. Document Storage Systems, Inc. (DSS PAC)

    633 Pennsylvania Ave NW
    Sixth Floor
    Washington, DC 20004
    Email: bbanton@dssinc.com

2. Date: 07/20/2018

3. FEC Committee ID #: C00683334 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Document Storage Systems, Inc.
12575 US Highway One
Suite 200
Juno Beach, Florida 33408
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Brooks Banton
633 Pennsylvania Ave NW
Sixth Floor
Washington, DC 20004

Treasurer:

Brooks Banton
633 Pennsylvania Ave NW
Sixth Floor
Washington, DC 20004

Designated Agent(s):

Douglas Virgilio
12575 US Highway One
Suite 200
Juno Beach, Florida 33408

Banks or Depositories

Chain Bridge Bank
1445-A Laughlin Ave
McLean, Virginia 22101

Signed: Brooks Banton
Date Signed: 07/23/2018

(End FEC FORM 1)

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