FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-463696
1. Harris Government Affairs Fund
111 W. MonroeP.O. Box 755
Chicago, IL 60603
2. Date: 04/16/2010
3. FEC Committee ID #: C00086256This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
Affiliated Committees/Organizations
Custodian of Records:
Treasurer:
Mike Lewis
2551 Glen Eagles Dr.
Olympia Fields, Illinois 60461
Title: Treasurer
Designated Agent(s):
Banks or Depositories
Harris Bank
111 West Monroe St.
P.O. Box 755
Chicago, Illinois 60603
Signed: Mike Lewis
Date Signed: 04/16/2010
(End FEC FORM 1)
Date Signed: 04/16/2010