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FORM 1 STATEMENT OF 2007 Please print or type your name, mailing a dd less, agency Na m e, a ND POS it on b e l ow:FINANCIAL INTERESTSLAST NAME FIRST NAME MID LE NAME :FOR OFFICE USE ONLY:(l n 1 MAILING

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A dd ress agency is a designated agency responsible for submitting dd ress information to the appropriate authorities.

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A dd ress agency typically requires information such as the name of the organization or individual, contact information, and details of the dd ress being reported.