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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-865285

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1. Joint Action Committee for Political Affairs

    P.O. Box 105
    Highland Park, IL 60035
    Email: info@jacpac.org

    NOTE: Email address is different than previously reported

2. Date: 04/10/2013

3. FEC Committee ID #: C00139659

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Marcia Balonick
367 Charal Lane
Highland Park, IL 60035
Title: Executive Sirector
Phone # (847) 433-5999

Treasurer:

Lorena Blonsky
1468 Sunnyside Ave.
Highland Park, Illinois 60035
Title: Treasurer
Phone # (847) 433-5999

Designated Agent(s):

Banks or Depositories

Manufacturer's Bank
1200 North Ashland Ave.
Chicago, Illinois 60622

Signed: Lorena Blonsky
Date Signed: 04/12/2013

FORM TEXT

(End FEC FORM 1)

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