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-359662

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

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

2. Date: 08/26/2008

3. FEC Committee ID #: C00040584 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

Committee ID# C00040584
Consumer Healthcare Products Association PAC (CHPA/PAC)
900 19th Street, NW
Suite 700
Washington, DC 20006
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Andrew Fish
4603 Roland Ave
Baltimore, Maryland 21210
Title: Treasurer
Phone # (202) 429-3511

Designated Agent(s):

Banks or Depositories

Wachovia Bank
1800 K Street, NW
Washington, DC 20006

Signed: Andrew Fish
Date Signed: 08/26/2008

(End FEC FORM 1)

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