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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-128059

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1. ASWORTH CORPORATION POLITICAL ACTION COMMITTEE (ASWORTH PAC)

    813 RIDGE LAKE BOULEVARD
    MEMPHIS, TN 38120
    Email: sachsed@cwdlp.com

2. Date: 02/11/2003

3. FEC Committee ID #: C00317883 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Asworth Corporation
200 West Madison
Chicago, Illinois 60606
Relationship: Connected
Organization Type: Corporation

Custodian of Records:

Mr. DECK SACHSE
813 RIDGE LAKE BLVD.
MEMPHIS, TN 38119
Title: Risk Manager
Phone # (901) 248-1687

Treasurer:

EDWIN S. ROBERSON
813 RIDGELAKE BLVD.
MEMPHIS, Tennessee 38120
Title: CFO
Phone # (901) 761-2050

Designated Agent(s):

Banks or Depositories

AmSouth Bank Custody Services
315 Deaderick Street
Suite 403
Nashville, Tennessee 37237

AMSOUTH BANK
6165 POPLAR AVE
MEMPHIS, Tennessee 38119

Signed: EDWIN S. ROBERSON
Date Signed: 07/16/2004

(End FEC FORM 1)

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