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-820050

1. ACPAC ACA INTERNATIONAL POLITICAL ACTION COMMITTEE

509 2nd St. NE
Washington, DC 20002
Email: bevington@acainternational.org;sabrkhani@acainternational.org

NOTE: Email address is different than previously reported

2. Date: 10/18/2012

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:

Bianca Sabrkhani
509 2nd St, NE
Washington, DC 20002
Title: Admin Assistant
Phone # (202) 547-2670

Treasurer:

Rae Ann Bevington
509 2nd St. NE
Washington, DC 20002
Title: Director of ACPAC
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

Citibank
40 Massachusetts Ave
Washington, DC 20002

Signed: Rae Ann Bevington
Date Signed: 10/18/2012
Official Committee URL: http://www.acainternational.org

(End FEC FORM 1)

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