FEC Form 1 for American Cable Association Inc PAC (ACA PAC)Form 1 for American Cable Association Inc PAC (ACA PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-409344

1. American Cable Association Inc PAC (ACA PAC)

One Parkway Center, Suite 212
Pittsburgh, PA 15220
Email: kyochum@americancable.org

2. Date: 03/23/2009

3. FEC Committee ID #: C00364109 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

American Cable Association, Inc.
One Parkway Center, Suite 212
Pittsburgh, Pennsylvania 15220
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Karen Yochum
One Parkway Center, Suite 212
Pittsburgh, PA 15220
Title: Director of Admin
Phone # (412) 922-8300

Treasurer:

Matthew M. Polka
One Parkway Center, Suite 212
Pittsburgh, Pennsylvania 15220
Title: President/CEO
Phone # (412) 922-8300

Designated Agent(s):

Banks or Depositories

Allegheny Valley Bank of Pittsburgh
Four Parkway Center, Suite 100
Pittsburgh, Pennsylvania 15220

Signed: Matthew M. Polka
Date Signed: 03/24/2009
Official Committee URL: www.americancable.org

(End FEC FORM 1)

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