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FEC Form 1 for H & R BLOCK POLITICAL ACTION COMMITTEE (BLOCKPAC)Form 1 for H & R BLOCK POLITICAL ACTION COMMITTEE (BLOCKPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-68789


1. H & R BLOCK POLITICAL ACTION COMMITTEE (BLOCKPAC)

    4400 MAIN STREET
    KANSAS CITY, MO 64111
    Email: egill@hrblock.com

2. Date: 10/14/2002

3. FEC Committee ID #: C00188177 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

H&R Block Inc.
4400 Main Street
Kansas City, Missouri 64111
Relationship: Sponsor
Organization Type: Corporation

Custodian of Records:

Erin L. Gill
4400 Main Street
Kansas City, MO 64111
Title: BlockPAC Treasurer
Phone # (816) 932-4945

Treasurer:

Erin L. Gill
4400 Main Street
Kansas City, Missouri 64111
Title: BlockPAC Treasurer
Phone # (816) 932-4945

Designated Agent(s):

Banks or Depositories

Bank of America
Box 798
Wichita, Kansas 67201

Signed: Erin L. Gill
Date Signed: 10/14/2002

(End FEC FORM 1)


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