Fec Form 1 Statement Of Organization Page 2

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FEC Form 1 (Revised 02/2009)
Page 2
5.
TYPE OF COMMITTEE (Check One)
Candidate Committee:
This committee is a principal campaign committee. (Complete the candidate information below.)
(a)
This committee is an authorized committee, and is NOT a principal campaign committee. (Complete the candidate
(b)
information below.)
Name of
Candidate
Candidate
Office
State
House
Senate
President
Party Affiliation
Sought:
District
(c)
This committee supports/opposes only one candidate, and is NOT an authorized committee.
Name of
Candidate
Party Committee:
(National, State
(Democratic,
(d)
This committee is a
(or subordinate) committee of the
Republican,etc.) Party.
Political Action Committee (PAC):
(e)
This committee is a separate segregated fund. (Identify connected organization on line 6.) Its connected organization is a:
Corporation w/o Capital Stock
Labor Organization
Corporation
Trade Association
Cooperative
Membership Organization
In addition, this committee is a Lobbyist/Registrant PAC.
(f)
This committee supports/opposes more than one Federal candidate, and is NOT a separate segregated fund or party
X
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)
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
(h)
committees/organizations, none of which is an authorized committee of a federal candidate.
Committees Participating in Joint Fundraiser
C
1.
FEC ID number
C
2.
FEC ID number
C
FEC ID number
3.
C
FEC ID number
4.

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