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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-186004

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1. PA Credit Union Legislative Action Committee

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

2. Date:

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

Affiliated Committees/Organizations

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):

Richard Wargo, Esq.
4309 North Front Street
Harrisburg, Pennsylvania 17106
Title: SVP/General Counsel
Phone # (800) 932-0661

Banks or Depositories

Signed: Mr Jan Hartman
Date Signed: 09/12/2005
Official Committee FAX: 0-

(End FEC FORM 1)

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