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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-780689

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1. Nancy Pelosi for Congress

    700 13th Street, NW
    Suite 600
    Washington, DC 20005
    Email: PLGroup@perkinscoie.com

2. Date: 04/24/2011

3. FEC Committee ID #: C00213512 This committee is a Principal Campaign Committee. Candidate: Nancy Pelosi
Party: Democratic Party
Office Sought: House of Representatives
State is California in District: 12

Affiliated Committees/Organizations

Committee ID# C00492421
Nancy Pelosi Victory Fund
430 South Capitol Street, SE
Washington, DC 20003
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Steven Swig
700 13th Street, NW
Suite 600
Washington, DC 20005
Title: Treasurer

Treasurer:

Steven Swig
700 13th Street, NW
Suite 600
Washington, DC 20005
Title: Treasurer

Designated Agent(s):

Banks or Depositories

TD Bank
605 14th Street, NW
Washington, DC 20005

Bank of America, NA
730 15th Street, NW
Washington, DC 20005

Signed: Steven Swig
Date Signed: 04/24/2012

(End FEC FORM 1)

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