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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-767328

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1. AMERICAN MOTORCYCLIST POLITICAL ACTION COMMITTEE

    13515 YARMOUTH DRIVE
    PICKERINGTON, OH 43147
    Email: BMOFFAT@AMA-CYCLE.ORG

2. Date: 02/22/2012

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:

BRUCE J MOFFAT
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: BRUCE J MOFFAT
Date Signed: 02/22/2012

(End FEC FORM 1)

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