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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1155358

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1. MIDDLE CLASS AMERICA PAC

    P.O. Box 521
    Western Springs, IL 60558
    Email: jbroeking@gmail.com;sandyzaremba@yahoo.com

    NOTE: Email address is different than previously reported

2. Date: 04/07/2017

3. FEC Committee ID #: C00486860

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

Committee ID# C00405431
DAN LIPINSKI FOR CONGRESS
P.O. BOX 520
WESTERN SPRINGS, Illinois 60558
Affiliated Relationship Code: Leadership PAC Sponsor

Custodian of Records:

Jim Broeking
4724 Central Avenue
Western Springs, IL 60558
Title: Treasurer
Phone # (312) 977-4109

Treasurer:

Jim Broeking
4724 Central Avenue
Western Springs, Illinois 60558
Title: Treasurer
Phone # (312) 977-4109

Designated Agent(s):

Jim Broeking
4724 Central Avenue
Western Springs, Illinois 60558
Title: Treasurer
Phone # (312) 977-4109

Banks or Depositories

FNBC BANDK AND TRUST
620 W. Burlington Avenue
LaGrange, Illinois 60525

Signed: Jim Broeking
Date Signed: 04/07/2017

(End FEC FORM 1)

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