FEC Form 1 for SCOOTER STORE, INC. POLITICAL ACTION COMMITTEE; THEForm 1 for SCOOTER STORE, INC. POLITICAL ACTION COMMITTEE; THE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-409259

1. SCOOTER STORE, INC. POLITICAL ACTION COMMITTEE; THE

1650 INDEPENDENCE DRIVE
NEW BRAUNFELS, TX 78132
Email: mleita@thescooterstore.com

2. Date: 03/23/2009

3. FEC Committee ID #: C00419937 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

The SCOOTER Store, Inc.
1650 Independence Drive
New Braunfels, Texas 78132
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mark Leita
3282 Espada
New Braunfels, TX 78132
Title: Treasurer
Phone # (830) 627-4717

Treasurer:

Mark Leita
3282 Espada
New Braunfels, Texas 78132
Title: Treasurer
Phone # (830) 627-4717

Designated Agent(s):

Banks or Depositories

Chase Bank
111 West San Antonio Street
New Braunfels, Texas 78132

Signed: Mark Leita
Date Signed: 03/23/2009

(End FEC FORM 1)

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