FEC Form 1 for Cummins-Allison Corp Employees for Good GovernmentForm 1 for Cummins-Allison Corp Employees for Good Government

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-479015

1. Cummins-Allison Corp Employees for Good Government

1919 Algonquin Road
Rolling Meadows, IL 60008
Email: daviesr@cumminsallison.com

2. Date: 02/13/2007

3. FEC Committee ID #: C00408914 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Cummins-Allison Corp.
891 Feehanville Drive
Mount Prospect, Illinois 60056
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Ms Robin F Davies
1919 Algonquin Road
Rolling Meadows, IL 60008
Title: Treasurer
Phone # (847) 255-5077

Treasurer:

Ms Robin F Davies
1919 Algonquin Road
Rolling Meadows, Illinois 60008
Title: Treasurer
Phone # (847) 255-5077

Designated Agent(s):

Banks or Depositories

Mount Prospect National Bank
50 N. Main Street
Mount Prospect, Illinois 600562433

Midwest Bank and Trust Company
501 West North Avenue
Melrose Park, Illinois 60160

Cornerstone National Bank & Trust
P.O. Box 1249
Palatine, Illinois 60078

Signed: Ms Robin F Davies
Date Signed: 07/13/2010

(End FEC FORM 1)

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