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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-333141

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1. ACPAC ACA International Political Action Committee

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

2. Date: 04/15/2008

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

Affiliated Committees/Organizations

ACA International
4040 W 70th St.
Minneapolis, Minnesota 55435
Relationship: connected
Organization Type: Trade Association

Custodian of Records:

Kristine Adams
4040 W 70th St
Minneapolis, MN 55435
Title: GA Specialist
Phone # (952) 926-6547

Treasurer:

Jean Cottington
4040 W 70th St
Minneapolis, Minnesota 55435
Title: Dir ACPAC
Phone # (952) 926-6547

Designated Agent(s):

Mike Henke
4040 W 70th St.
Minneapolis, Minnesota 55435
Title: VP of Finance
Phone # (952) 926-6547

Banks or Depositories

US Bank
7001 France Ave S
Edina, Minnesota 55435

Signed: Jean Cottington
Date Signed: 04/15/2008
Official Committee FAX: 952-915-3922

(End FEC FORM 1)

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