FEC Form 1 for AMERICAN SUPPLY ASSOCIATION POLITICAL ACTION COMMITTEEForm 1 for AMERICAN SUPPLY ASSOCIATION POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-778615

1. AMERICAN SUPPLY ASSOCIATION POLITICAL ACTION COMMITTEE

222 MERCHANDISE MART PLAZA
SUITE #1400
CHICAGO, IL 60654

NOTE: Address is different than previously reported

Email: mbean@asa.net

2. Date: 04/16/2012

3. FEC Committee ID #: C00166074 This committee is a National committee of the Party.

Affiliated Committees/Organizations

Committee ID# C00166074
AMERICAN SUPPLY ASSOCIATION POLITICAL ACTION COMMITTEE
222 MERCHANDISE MART PLAZA
SUITE #1400
CHICAGO, Illinois 60654
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Michael Adelizzi
1200 N. Arlington Heights Rd
Ste# 150
Itasca, Illinois 60143
Title: Exec. Vice President
Phone # (630) 467-0000

Designated Agent(s):