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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-164058

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1. American Pharmacists Association Political Action Committee

    2215 Constitution Avenue NW
    Washington, DC 20037
    Fax: 202-638-3793
    Email: PAC@aphanet.org

2. Date: 02/01/2005

3. FEC Committee ID #: C00193854 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Lori Bickel
American Pharmacists Association
2215 Constitution Avenue NW
Washington, DC 20037
Title: PAC Liaison
Phone # (202) 429-7575

Treasurer:

, ____

Designated Agent(s):

Banks or Depositories

Signed: Roger K. Browning
Date Signed: 02/02/2005
Official Committee URL: www.aphanet.org
Official Committee FAX: 202-638-3793

(End FEC FORM 1)

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