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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-84335

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1. ACPAC ACA International Political Action Committee

    4040 W. 70th St
    Minneapolis, MN 55435
    Email: andersen@acainternational.org

2. Date: 02/17/1976

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

Affiliated Committees/Organizations

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

Custodian of Records:

Rebecca Timm
4040 70th St.
Minneapolis, MN 55435
Phone # (952) 926-6547

Treasurer:

Rozanne Andersen
4040 W. 70th St
Minneapolis, Minnesota 55435
Title: Treasurer
Phone # (952) 926-6547

Designated Agent(s):

Jenifer Loon
4040 W. 70th St.
Minneapolis, Minnesota 55435
Phone # (952) 926-6547

Banks or Depositories

US BANK
7001 France Ave S
Edina, Minnesota 55435

Signed: Rozanne M. Andersen
Date Signed: 05/08/2003
Official Committee URL: www.acainternational.org

(End FEC FORM 1)

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