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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-405596

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1. ACPAC ACA International Political Action Committee

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

2. Date: 02/25/2009

3. FEC Committee ID #: C00034785 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

ACA International
4040 W 70th Street
Minneapolis, Minnesota 55435

Custodian of Records:

Kathy Heimel
4040 W 70th St
Minneapolis, MN 55435
Title: GA Admin
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 Street
Minneapolis, Minnesota 55435
Title: VP of Finance

Banks or Depositories

US Bank
7001 France Ave S
Edina, Minnesota 55435

Signed: Jean Cottington
Date Signed: 02/25/2009
Official Committee FAX: 952-915-3922

(End FEC FORM 1)

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