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- Pages: 6
01/26/2007 11 : 56
Image# 27950011616
STATEMENT OF ORGANIZATION
FEC FORM 1 1.
(See instructions)
NAME OF COMMITTEE (in full)
(Check if name is changed)
Office use only
Example: If typying, type over the lines
12FE4M5
MADISON PROJECT INC.
ADDRESS
1155 - 15th STREET, NW (number and street)
SUITE 614 X
(Check if address is changed)
WASHINGTON
DC CITY
20005
STATE
_
ZIP CODE
COMMITTEE'S E-MAIL ADDRESS
[email protected]
COMMITTEE'S WEB PAGE ADDRESS (URL)
http://www.madisonproject.com/
COMMITTEE'S FAX NUMBER
3202159596
2.
DATE
3.
FEC IDENTIFICATION NUMBER
4.
IS THIS STATEMENT
M
M
/
D
01
D
/
26
X
Y
Y
Y
Y
2007
C C00298000 NEW (N)
OR
AMENDED (A)
I certify that I have examined this Statement and to the best of my knowledge and belief it is true, correct and complete
Type or Print Name of Treasurer
Signature of Treasurer
SCOTT B MACKENZIE
Electronically Filed by
SCOTT B MACKENZIE
M
Date
M
01
/
D
D
26
/
Y
Y
NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Statement to the penalties of 2 U.S.C. S437g.
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
Y
Y
2007
FEC FORM 1 (Revised 02/2003)
Image# 27950011617
FECForm 1 (Revised 02/2003) 5.
Page 2
TYPE OF COMMITTEE (Check One)
(a)
This committee is a principal campaign committee. (Complete the candidate information below.)
(b)
This committee is an authorized committee, and is NOT a principal campaign committee. (Complete the candidate information below.)
Name of Candidate
Candidate Party Affiliation
Office Sought:
State House
Senate
President District
(c)
This committee supports/opposes only one candidate, and is NOT an authorized committee.
Name of Candidate
This committee is a
(e)
This committee is a separate segregated fund
(f)
6.
(National, State (or subordinate) committee of the
(d)
X
(Democratic, Republican,etc.) Party.
This committee supports/opposes more than one Federal candidate, and is NOT a separate segregated fund or party committee.
Name of Any Connected Organization or Affiliated Committee
None
Mailing Address
.
CITY
STATE
.
ZIP CODE
Relationship Type of Connected Organization: Corporation
Corporation w/o Capital Stock
Labor Organization
Membership Organization
Trade Association
Cooperative
.
Image# 27950011618
FEC Form 1 (Revised 02/2003)
Page 3
Write or Type Committee Name
MADISON PROJECT INC. 7.
Identify by name, address, (phone number -- optional), and position of the person in possession of Committee books and records.
Custodian of Records:
SCOTT B MACKENZIE
Full Name
1155 - 15TH STREET, NW
Mailing Address
SUITE 614 WASHINGTON Title or Position
.
CITY
20005 _
DC
.
.
TREASURER
703 Telephone number
8.
ZIP CODE
STATE
_
868
_
. 1776
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
SCOTT B MACKENZIE 1155 - 15TH STREET, NW
Mailing Address
SUITE 614 WASHINGTON Title or Position
.
CITY
.
TREASURER
20005 _
DC
.
STATE
Telephone number
703
ZIP CODE
_
868
_
. 1776
Full Name of Designated Agent Mailing Address
_ Title or Position
.
CITY
.
STATE
Telephone number
.
ZIP CODE
_
_
.
Image# 27950011619
FEC Form 1 (Revised 02/2003) 9.
Page 4
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.
WACHOVIA BANK Mailing Address
PO BOX 220748
CHARLOTTE
NC CITY
STATE
28222 ZIP CODE
Image# 27950011620
FEC Form 1 (Revised 1/2001)
Page 5 / 6
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.
[ ADDITIONAL ]
Name of Bank, Depository, etc.
ACCESS NATIONAL BANK Mailing Address
1800 ROBERT FULTON DRIVE
RESTON
VA CITY
20191
STATE
ZIP CODE
Name of Any Connected Organization or Affiliated Committee
[ ADDITIONAL ]
Mailing Address
.
CITY
.
STATE
ZIP CODE
Relationship Type of Connected Organization: Corporation
Corporation w/o Capital Stock
Labor Organization
Membership Organization
Trade Association
Cooperative
.
Image# 27950011621 FEC Form 1 (Revised 1/2001)
Page 6 / 6
[ ADDITIONAL ]
Designated Agent
Full Name Mailing Address
_ Title or Position
.
CITY
.
.
ZIP CODE
STATE
Telephone number
_
_
.
Image# 27950011616
STATEMENT OF ORGANIZATION
FEC FORM 1 1.
(See instructions)
NAME OF COMMITTEE (in full)
(Check if name is changed)
Office use only
Example: If typying, type over the lines
12FE4M5
MADISON PROJECT INC.
ADDRESS
1155 - 15th STREET, NW (number and street)
SUITE 614 X
(Check if address is changed)
WASHINGTON
DC CITY
20005
STATE
_
ZIP CODE
COMMITTEE'S E-MAIL ADDRESS
[email protected]
COMMITTEE'S WEB PAGE ADDRESS (URL)
http://www.madisonproject.com/
COMMITTEE'S FAX NUMBER
3202159596
2.
DATE
3.
FEC IDENTIFICATION NUMBER
4.
IS THIS STATEMENT
M
M
/
D
01
D
/
26
X
Y
Y
Y
Y
2007
C C00298000 NEW (N)
OR
AMENDED (A)
I certify that I have examined this Statement and to the best of my knowledge and belief it is true, correct and complete
Type or Print Name of Treasurer
Signature of Treasurer
SCOTT B MACKENZIE
Electronically Filed by
SCOTT B MACKENZIE
M
Date
M
01
/
D
D
26
/
Y
Y
NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Statement to the penalties of 2 U.S.C. S437g.
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
Y
Y
2007
FEC FORM 1 (Revised 02/2003)
Image# 27950011617
FECForm 1 (Revised 02/2003) 5.
Page 2
TYPE OF COMMITTEE (Check One)
(a)
This committee is a principal campaign committee. (Complete the candidate information below.)
(b)
This committee is an authorized committee, and is NOT a principal campaign committee. (Complete the candidate information below.)
Name of Candidate
Candidate Party Affiliation
Office Sought:
State House
Senate
President District
(c)
This committee supports/opposes only one candidate, and is NOT an authorized committee.
Name of Candidate
This committee is a
(e)
This committee is a separate segregated fund
(f)
6.
(National, State (or subordinate) committee of the
(d)
X
(Democratic, Republican,etc.) Party.
This committee supports/opposes more than one Federal candidate, and is NOT a separate segregated fund or party committee.
Name of Any Connected Organization or Affiliated Committee
None
Mailing Address
.
CITY
STATE
.
ZIP CODE
Relationship Type of Connected Organization: Corporation
Corporation w/o Capital Stock
Labor Organization
Membership Organization
Trade Association
Cooperative
.
Image# 27950011618
FEC Form 1 (Revised 02/2003)
Page 3
Write or Type Committee Name
MADISON PROJECT INC. 7.
Identify by name, address, (phone number -- optional), and position of the person in possession of Committee books and records.
Custodian of Records:
SCOTT B MACKENZIE
Full Name
1155 - 15TH STREET, NW
Mailing Address
SUITE 614 WASHINGTON Title or Position
.
CITY
20005 _
DC
.
.
TREASURER
703 Telephone number
8.
ZIP CODE
STATE
_
868
_
. 1776
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
SCOTT B MACKENZIE 1155 - 15TH STREET, NW
Mailing Address
SUITE 614 WASHINGTON Title or Position
.
CITY
.
TREASURER
20005 _
DC
.
STATE
Telephone number
703
ZIP CODE
_
868
_
. 1776
Full Name of Designated Agent Mailing Address
_ Title or Position
.
CITY
.
STATE
Telephone number
.
ZIP CODE
_
_
.
Image# 27950011619
FEC Form 1 (Revised 02/2003) 9.
Page 4
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.
WACHOVIA BANK Mailing Address
PO BOX 220748
CHARLOTTE
NC CITY
STATE
28222 ZIP CODE
Image# 27950011620
FEC Form 1 (Revised 1/2001)
Page 5 / 6
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.
[ ADDITIONAL ]
Name of Bank, Depository, etc.
ACCESS NATIONAL BANK Mailing Address
1800 ROBERT FULTON DRIVE
RESTON
VA CITY
20191
STATE
ZIP CODE
Name of Any Connected Organization or Affiliated Committee
[ ADDITIONAL ]
Mailing Address
.
CITY
.
STATE
ZIP CODE
Relationship Type of Connected Organization: Corporation
Corporation w/o Capital Stock
Labor Organization
Membership Organization
Trade Association
Cooperative
.
Image# 27950011621 FEC Form 1 (Revised 1/2001)
Page 6 / 6
[ ADDITIONAL ]
Designated Agent
Full Name Mailing Address
_ Title or Position
.
CITY
.
.
ZIP CODE
STATE
Telephone number
_
_
.
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