FEC Form 1 for NATIONAL CHICKEN COUNCIL POLITICAL ACTION COMMITTEE (FKA) NATIONAL BROILER COUNCIL PACForm 1 for NATIONAL CHICKEN COUNCIL POLITICAL ACTION COMMITTEE (FKA) NATIONAL BROILER COUNCIL PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-266055

1. NATIONAL CHICKEN COUNCIL POLITICAL ACTION COMMITTEE (FKA) NATIONAL BROILER COUNCIL PAC

1015 FIFTEENTH STREET NW
WASHINGTON, DC 20005
Fax: 2022934005
Email: NCCPAC@Chickenusa.org

2. Date: 12/19/2006

3. FEC Committee ID #: C00034272 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Ms. Mary Millicent Colville
1015 15th St. NW
Suite 930
Washington, DC 20005
Title: Custodian of Records
Phone # (202) 296-2622

Treasurer:

George Watts
1015 15th Street
Washington D.C., ____ 20005

Designated Agent(s):

Banks or Depositories

Signed: George Watts
Date Signed: 12/19/2006
Official Committee FAX: 2022934005

(End FEC FORM 1)

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