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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-974610

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1. Mark Takai for Congress

    PO Box 2267
    Pearl City, HI 96782
    Email: mark@marktakai.com;allison@cfoconsults.com

    NOTE: Email address is different than previously reported

2. Date: 11/04/2014

3. FEC Committee ID #: C00548131 This committee is a Principal Campaign Committee. Candidate: Mark Takai
Party: Democratic Party
Office Sought: House of Representatives
State is Hawaii in District: 01

Affiliated Committees/Organizations

Committee ID# C00569210
Schatz Takai Victory Fund
600 Pennsylvania Avenue SE
Suite 210
Washington, DC 20003
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Treasurer:

Edward Dion Kaimihana
2213 Kula Kolea Dr
Honolulu, Hawaii 96819
Title: Treasurer
Phone # (808) 744-8115

Designated Agent(s):

Banks or Depositories

Bank of Hawaii
98-211 Pali Momi St
Aiea, Hawaii 96701

PNC Bank
650 Pennsylvania Avenue SE
Washington, DC 20003

Signed: Edward Dion Kaimihana
Date Signed: 12/01/2014
Official Committee URL: www.marktakai.com

(End FEC FORM 1)

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