FEC Form 1 for American Staffing Association StaffingPACForm 1 for American Staffing Association StaffingPAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-415605

1. American Staffing Association StaffingPAC

277 S. Washington St., Suite 200
Alexandria, VA 22314
Email: elenz@americanstaffing.net

2. Date: 10/01/1981

3. FEC Committee ID #: C00145623 This committee is a separate segregated fund. Its connected organization is a Trade Association
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Edward A. Lenz
277 S. Washington St.
Suite 200
Alexandria, Virginia 22314
Title: Sr. Vice President
Phone # (703) 253-2035

Designated Agent(s):

Banks or Depositories

Wachovia Securities
One Wachovia Center
1751 Pinnacle Drive, 3rd Fl.
McLean, Virginia 22102

Signed: Edward A. Lenz
Date Signed: 04/29/2009

(End FEC FORM 1)

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