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FEC Form 1 for CLUB FOR GROWTH INC PACForm 1 for CLUB FOR GROWTH INC PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-160038


1. CLUB FOR GROWTH INC PAC

    2001 L St. NW
    Suite 600
    WASHINGTON, DC 20036

    NOTE: Address is different than previously reported

    Fax: 2029559466
    Email: arozansky@clubforgrowth.org

2. Date: 01/21/2005

3. FEC Committee ID #: C00346536 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

The Club for Growth Inc.
2001 L St. NW
Suite 600
Washington, DC 20036
Relationship: connected
Organization Type: Membership Organization

Custodian of Records:

Adam Rozansky
2001 L St. NW
Suite 600
Washington, DC 20036
Title: Assistant Treasurer
Phone # (202) 955-5500

Treasurer:

Pat Toomey
5250 Wheatland Drive
Zionsville, Pennsylvania 18092
Title: PAC Treasurer
Phone # (202) 955-5500

Designated Agent(s):

Adam Rozansky
2001 L St. NW
Suite 600
Washington, DC 20036
Title: Assistant Treasurer
Phone # (202) 955-5500

Banks or Depositories

Sun Trust Bank
1445 New York Ave. NW
Washington, DC 20005

Signed: Pat Toomey
Date Signed: 01/21/2005
Official Committee FAX: 2029559466

(End FEC FORM 1)


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