FEC Form 1 for Consumer Healthcare Products Association PAC (CHPA/PAC)Form 1 for Consumer Healthcare Products Association PAC (CHPA/PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-261582

1. Consumer Healthcare Products Association PAC (CHPA/PAC)

900 19th Street NW
Suite 700
Washington, DC 20006
Fax: 2022236835
Email: chpapac@chpa-info.org

2. Date: 12/05/2006

3. FEC Committee ID #: C00040584 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Consumer Healthcare Products Association
900 19th Street NW
Suite 700
Washington, DC 20006
Relationship: Connected Org.
Organization Type: Trade Association

Custodian of Records:

Michael Becker
900 19th Street NW
Suite 700
Washington, DC 20006
Title: Legislative Assist.
Phone # (202) 429-9260

Treasurer:

Kevin Kraushaar
900 19th Street NW
Suite 700
Washington, DC 20006
Title: VP Gov't Relations
Phone # (202) 429-9260

Designated Agent(s):

Andrew Fish
900 19th Street NW
Suite 700
Washington, DC 20006
Title: Senior VP
Phone # (202) 429-9260

Banks or Depositories

Wachovia Bank
1800 K Street NW
Washington, DC 20006

Signed: Mr. Kevin Kraushaar
Date Signed: 12/05/2006
Official Committee FAX: 2022236835

(End FEC FORM 1)

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