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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-410243

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1. BETTY PAC

    PO BOX 14141
    ST PAUL, MN 55114
    Email: info@bettypac.org

    NOTE: Email address is different than previously reported

2. Date: 03/29/2009

3. FEC Committee ID #: C00405050

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
     In addition, this committee is a Leadership PAC.

Affiliated Committees/Organizations

Candidate ID# H0MN04049
BETTY MCCOLLUM
PO BOX 14131
ST PAUL, Minnesota 55114
Affiliated Relationship Code: Leadership PAC Sponsor

Custodian of Records:

Jerry Samargia
P.O. Box 14141
St. Paul, MN 55114
Title: Treasurer
Phone # (651) 917-9037

Treasurer:

Jerry Samargia
P.O. Box 14141
St. Paul, Minnesota 55114
Title: Treasurer
Phone # (651) 917-9037

Designated Agent(s):

Banks or Depositories

Park Midway Bank
2265 Como Avenue
St. Paul, Minnesota 55108

Signed: Jerry Samargia
Date Signed: 03/29/2009
Official Committee URL: None

(End FEC FORM 1)

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