FEC Form 1 for NATIONAL CLUB ASSOCIATION POLITICAL ACTION COMMITTEE (CLUBPAC)Form 1 for NATIONAL CLUB ASSOCIATION POLITICAL ACTION COMMITTEE (CLUBPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-293319

1. NATIONAL CLUB ASSOCIATION POLITICAL ACTION COMMITTEE (CLUBPAC)

1201 15TH STREET NW SUITE 450
WASHINGTON, DC 20005
Fax: 2028229808
Email: steele@nationalclub.org

2. Date: 07/10/2007

3. FEC Committee ID #: C00165472 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Natinal Club Association
1201 15th St. NW Ste. 450
Washington, DC 20005
Relationship: Connected
Organization Type: Trade Association

Custodian of Records:

Susanne Wegrzyn
1201 15th St. NW Suite 450
Washington, DC 20005
Title: Treasurer
Phone # (202) 822-9822

Treasurer:

Susanne Wegrzyn
1201 15th St. NW Suite 450
Washington, DC 20005
Title: Treasurer
Phone # (202) 822-9822

Designated Agent(s):

Banks or Depositories

Wachovia Bank
P.O. Box 563966
Charlotte, North Carolina 28262

Signed: Susanne Wegrzyn
Date Signed: 07/10/2007
Official Committee FAX: 2028229808

(End FEC FORM 1)

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