FEC Form 1 for ACPAC ACA INTERNATIONAL POLITICAL ACTION COMMITTEEForm 1 for ACPAC ACA INTERNATIONAL POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-803470

1. ACPAC ACA INTERNATIONAL POLITICAL ACTION COMMITTEE

509 2nd St. NE
Washington, DC 20002

NOTE: Address is different than previously reported

Email: bevington@acainternational.org;andrew@acainternational.org

2. Date: 08/08/2012

3. FEC Committee ID #: C00034785 This committee is a separate segregated fund. Its connected organization is a Trade Association
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

ACA International
4040 W 70th Street
Minneapolis, Minnesota 55435
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Michelle Andrew
4040 W 70th St
Minneapolis, MN 55435
Title: Administrative Asst.
Phone # (952) 926-6547

Treasurer:

Rae Ann Bevington
509 2nd St. NE
Washington, DC 20002
Title: PAC Director
Phone # (202) 547-2670

Designated Agent(s):

Patrick Morris
509 2nd St. NE
Washington, DC 20002
Title: CEO
Phone # (202) 547-2670

Banks or Depositories

US Bank
344 Jackson
St. Paul, Minnesota 55104

Signed: Rae Ann Bevington
Date Signed: 08/08/2012
Official Committee URL: www.acainternational.org

(End FEC FORM 1)

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