FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-479319
1. American Supply Association Political Action Committee
222 Merchandise Mart PlazaSuite #1400
Chicago, IL 60654
Email: mbean@asa.net
2. Date: 07/14/2010
3. FEC Committee ID #: C00166074 This committee is a separate segregated fund. Its connected organization is a Trade AssociationAffiliated Committees/Organizations
Committee ID# C00166074American Supply Association Political Action Committee
222 Merchandise Mart Plaza
Suite #1400
Chicago, Illinois 60654
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Treasurer:
Michael Adelizzi222 Merchandise Mart Plaza
Suite 1400
Chicago, Illinois 60654
Designated Agent(s):
Michael Adelizzi222 Merchandise Mart Plaza
Suite 1400
Chicago, Illinois 60654
Banks or Depositories
Fifth-Third BankP.O. Box 630900
Cincinatti, Ohio 45263