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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-484187

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1. Roetzel & Andress Co, LPA FSL PAC

    222 S. Main Street
    Akron, OH 44308
    Email: ladkins@ralaw.com

    NOTE: Email address is different than previously reported

2. Date: 07/22/2010

3. FEC Committee ID #: C00228379 This committee is a separate segregated fund. Its connected organization is a Corporation
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Committee ID# C00228379
Roetzel & Andress Co, LPA FSL PAC
222 S. Main Street
Akron, Ohio 44308
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Lewis Adkins
1375 E. Ninth Street
One Cleveland Center
Cleveland, OH 44114
Title: Treasurer
Phone # (216) 615-4842

Treasurer:

Lewis Adkins
1375 E. Ninth Street
One Cleveland Center
Cleveland, Ohio 44114
Title: Treasurer
Phone # (216) 615-4842

Designated Agent(s):

Lewis Adkins
1375 E. Ninth Street
One Cleveland Center
Cleveland, Ohio 44114
Title: Treasurer
Phone # (216) 615-4842

Banks or Depositories

JPMorgan Chase Bank, N.A.
50 S. Main St.
Akron, Ohio 44308

Signed: Lewis Adkins
Date Signed: 09/30/2010

(End FEC FORM 1)

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