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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-705450

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1. AMERICAN MOTORCYCLIST POLITICAL ACTION COMMITTEE

    13515 YARMOUTH DRIVE
    PICKERINGTON, OH 43147
    Email: sjones@ama-cycle.org

    NOTE: Email address is different than previously reported

2. Date: 01/03/2011

3. FEC Committee ID #: C00120238 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

American Motorcyclist Association
13515 Yarmouth Drive
Pickerington, Ohio 43147
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Robert Chaddock
13515 Yarmouth Drive
Pickerington, Ohio 43147
Title: Treasurer
Phone # (614) 856-1900

Designated Agent(s):

Banks or Depositories

Chase
1785 Hill Road
Pickerington, Ohio 43147

Signed: Robert Chaddock
Date Signed: 01/11/2011

(End FEC FORM 1)

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