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Committee Name:

If registered, FEC ID:

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Today's Date:

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Federal Election Commission 999 E Street, N.W. Washington, D.C. 20463 Re: Form 1, Statement of OrganizationUnlimited Contributions To Whom It May Concem: This committee intends to make independent expenditures, and consistent with the U.S. Court of Appeals for the District of Columbia Circuit decision in SpeechNow v. FEC, it therefore intends to raise funds in unlimited amounts. This committee will not use those funds to make contributions, whether direct, in-kind, or via coordinated communications, to federal candidates or committees. Respectfully submitted.

Treasurer's Name:

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, Treasurer

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FEC FORM 1
1. NAMEOF COMMITTEE (In full) I""! iLsk

STATEMENT OF ORGANIZATION
(Check if name is changed) Example: if typing, type over the lines.

RECEIVE"0

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(Check if address is changed) ' l l i l l l CITY

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STATE

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ZIP CODE

COMMITTEE'S E-MAIL ADDRESS (Please provide only one e-mail address) || (Check if address is changed)

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I i i I I I I i I I i I I i I ! I I I I I I I 1 I I I I i 1 I I
COMMITTEE'S WEB PAGE ADDRESS (URL) [{^1 ii^ss! (Check if address is changed)

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2.

DATE

3.

F E C IDENTIFICATION NUMBER

4.

IS THIS STATEMENT

NEW (N)

OR

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AMENDED (A)

/ certify that I have examined this Statement and to the best of my knowledge and beliel it is true, correct and complete.

Type or Print Name of Treasurer

Signature of Treasurer

Date 1 \ 0 ^

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NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Statement to the penalties of 2 U.S.C. 437g. ANY CHANGE IN INFORMATION SHOULD BE REPORTED WITHIN 10 DAYS.

Office Use Only

For further Information contact: Federal Election Commission Toll Free 800-424-9530 Local 202-694-1100

FEC FORM 1
(Revised 02/2009) [

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5. (a) (b)

FEC Form 1 (Revised 02/2009) T Y P E OF COMMITTEE

Page 2

Candidate Committee:
This committee is a principal campaign committee. (Complete the candidate information below.) This committee is an authorized committee, and is NOT a principal campaign committee. (Complete the candidate information below.)

Name of Candidate Candidate Party Affiliation

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Office Sought:

State | J House itJ Senate President

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(c)

This committee supports/opposes only one candidate, and is NOT an authorized committee.
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Name of Candidate

Party Committee:
i^) O Tl^'s committee is a (National, State or subordinate) committee of the (Democratic, Republican, etc.) Party

Political Action Committee (PAC):


M.I ^'^'^ committee is a separate segregated fund. (Identify connected organization on line 6.) Its connected organization is a: Corporation U Membership Organization U Q Corporation w/o Capital Stock Trade Association 4^ | J Labor Organization Cooperative

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(f) Q PJ

ln addition, this committee is a Lobbyist/Registrant PAC.

This committee supports/opposes more than one Federal candidate, and is NOT a separate segregated fund or party committee, (i.e., nonconnected committee) In addition, this committee is a Lobbyist/Registrant PAC. In addition, this committee is a Leadership PAC. (Identify sponsor on line 6.)

Joint Fundraising Representative:


(g) (h) This committee collects contributions, pays fundraising expenses and disburses net proceeds for two or more political committees/organizations, at least one of which is an authorized committee of a federal candidate. This committee collects contributions, pays fundraising expenses and disburses net proceeds for two or more political committees/organizations, none of which is an authorized committee of a federal candidate.

Committees Participating in Joint Fundraiser

1. I I I I M I I I M I I I I
2. 3. 4.

J FEC ID n u m b e r j C J FEC ID number | ( 3 J FEC ID n u m b e r j C j FEC ID n u m b e r | C

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FEC Form 1 (Revised 02/2009) Write or Type Committee Name Page 3 6. Name of Any Connected Organization, Affiliated Committee, Joint Fundraising Representative, or Leadership PAC Sponsor

I I I I I I I I I I M I I I I I I I I I I I I I I I 11 I I I I I M i I I I I I I I I I M I I I M M I I I I I
Mailing Address

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CITY Relationship: STATE ZIP CODE

O Connected Organization OAffiliated Committee | J Joint Fundraising Representative j^lLeadership PAC Sponsor

7.

Custodian of Records: Identify by name, address (phone number - optional) and position of the person in possession of committee books and records.

Full Name Mailing Address

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Title or Position CITY

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STATE

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ZIP CODE

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Telephone number

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8.

Treasurer: List the name and address (phone number ~ optional) of the treasurer of the committee; and the name and address of any designated agent (e.g., assistant treasurer). Full Name of Treasurer Mailing Address I i i i i I I ! i i i i I i i I i ! I i i I i i i i I i i I i i I i i I i i I i i i i I i i I i i I i I I i I i i i i ! I i i I i i I i i I i i i i i I i i i i i 1 ZIP CODE i i i ' ! i i ! i I i I I I I I

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CITY Title or Position I l l l l l l i l l l i l l l l Telephone number

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FEC Form 1 (Revised 02/2009) Page 4 Full Name of Designated Agent Mailing Address ill^^L 1*4^ 1'^ V ltlt\|CM-<^\l | ygj^Vi I Vi Q ^l
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CITY I I I I I

Telephone number

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9.

Banks or Other Depositories: List all banks or other depositories in which the committee deposits funds, holds accounts, rents safety deposit boxes or maintains funds. Name of Bank, Depository etc.

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Name of Bank, Depository etc.

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CITY

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STATE ZIP CODE

Federal Election Commission ENVELOPE REPLACEMENT PAGE FOR INCOMING DOCUMENTS The FEC added this page to the end of this filing to indicate how it was received. Date of Receipt Hand Delivered Postmarked USPS First Class Mail Postmarked (R/C) USPS Registered/Certified Postmarked USPS Priority Mail Delivery Confirmation or Signature Confirmation Label | Postmarked USPS Express Mail

Postmark Illegible

No Postmark Shipping Date Overnight Delivery Service (Specify): Next Business Day Delivery Date of Receipt Received from House Records & Registration Office Date of Receipt Received from Senate Public Records Office Date of Receipt Received from Electronic Filing Office Date of Receipt or Postmarked Other (Specify):

PREPARER (3/2005)

DATE PREPARED

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