FEC Form 1 for PA Credit Union Legislative Action CommitteeForm 1 for PA Credit Union Legislative Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-176029

1. PA Credit Union Legislative Action Committee

4309 North Front Street
Harrisburg, PA 17110
Fax: 0-

2. Date: 06/10/2005

3. FEC Committee ID #: C00109397 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Pennsylvania Credit Union Association
4309 North Front Street
Harrisburg, Pennsylvania 17106
Relationship: connected
Organization Type: Trade Association

Custodian of Records:

Phone # 0

Treasurer:

Mr Jan Hartman
4309 North Front Street
Harrisburg, Pennsylvania 17106
Title: VP Governmental Affa
Phone # (717) 234-3156

Designated Agent(s):

Christina Mihalik
4309 North Front Street
Harrisburg, Pennsylvania 17106
Title: Governmental Affairs
Phone number = 0

Banks or Depositories

PA Central Federal Credit Union
959 East Park Drive
Harrisburg, Pennsylvania 17111

Signed: Mr Jan Hartman
Date Signed: 06/10/2005
Official Committee FAX: 0-

FORM TEXT

(End FEC FORM 1)

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