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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-415588

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1. Heartland PAC

    1500 Hanna Building
    1422 Euclid Ave
    Cleveland, OH 441152001

    NOTE: Address is different than previously reported

    Email: selichtenstein@lipsoncpa.com

    NOTE: Email address is different than previously reported

2. Date: 04/28/2009

3. FEC Committee ID #: C00131557

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Scott Lichtenstein
1422 Euclid Ave
Cleveland, OH 44115
Title: CPA
Phone # (440) 785-1508

Treasurer:

Scott Lichtenstein
1422 Euclid Ave
Cleveland, Ohio 44115
Title: CPA
Phone # (440) 785-1508

Designated Agent(s):

ELISSA WULIGER ZEGURA
30 PEBBLEBROOK LANE
MORELAND HILLS, Ohio 44022
Title: President
Phone # (440) 248-4338

Banks or Depositories

National City Bank
27359 Chagrin Blvd.
Woodmere, Ohio 44122

Signed: Scott Lichtenstein
Date Signed: 04/29/2009

(End FEC FORM 1)

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