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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-855095

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1. Automobile Club of Michigan Political Action Committee

    1 Auto Club Drive
    Dearborn, MI 48126
    Email: klbowen@aaamichigan.com,tlbarry@aaamichigan.com

    NOTE: Email address is different than previously reported

2. Date: 02/11/2013

3. FEC Committee ID #: C00197103 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

Automobile Club of Michigan
1 Auto Club Drive
Dearborn, Michigan 48126
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Kim Bowen
120 N. Washington Sq.
Suite 802
Lansing, MI 48933
Title: Grassroots Coordinat
Phone # (517) 487-5901

Treasurer:

Ms. Theonas Barry
1 Auto Club Drive
Dearborn, Michigan 48126
Title: Director, Claim Serv
Phone # (313) 336-7881

Designated Agent(s):

Banks or Depositories

Community Alliance Credit Union
1 Auto Club Drive
Dearborn, Michigan 48126

Signed: Ms. Theonas Barry
Date Signed: 02/11/2013

(End FEC FORM 1)

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