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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-219372

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1. ACPAC ACA International Political Action Committee

    4040 W. 70th St
    Minneapolis, MN 55435
    Fax: 952-915-3922
    Email: andersen@acainternational.org

2. Date: 05/07/2003

3. FEC Committee ID #: C00034785 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Ann Ludes
4040 W. 70th St
Edina, MN 55435
Title: Associate Director

Treasurer:

, ____

Designated Agent(s):

Banks or Depositories

Signed: Rozanne M. Andersen
Date Signed: 05/23/2006
Official Committee URL: www.acainternational.org
Official Committee FAX: 952-915-3922

(End FEC FORM 1)

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