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FEC Form 1 for Brush Engineered Materials Good Government FundForm 1 for Brush Engineered Materials Good Government Fund

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-398019


1. Brush Engineered Materials Good Government Fund

    6070 Parkland Boulevard
    Mayfield Heights, OH 44124

    NOTE: Address is different than previously reported

    Fax: 2163834918
    Email: scott_raymont@beminc.com

2. Date: 01/27/2009

3. FEC Committee ID #: C00216770 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

BRUSH ENGINEERED MATERIALS, INC.
6070 PARKLAND BOULEVARD
MAYFIELD HEIGHTS, Ohio 44124
Affiliated Relationship Code: Connected Organization

Custodian of Records:


Treasurer:

Scott Vernon Raymont
6070 Parkland Boulevard
Mayfield Heights, Ohio 44124
Title: Treasurer
Phone # (216) 383-6817

Designated Agent(s):

John Palumbo
6070 Parkland Boulevard
Mayfield Heights, Ohio 44124
Title: Assistant Treasurer
Phone # (216) 383-4050

Patrick S. Carpenter
6070 Parkland Boulevard
Mayfield Heights, Ohio 44124
Title: Chairman
Phone # (216) 383-6835

Michael D. Anderson
6070 Parkland Boulevard
Mayfield Heights, Ohio 44124
Title: Vice Chairman
Phone # (216) 383-4087

Banks or Depositories

J.P. Morgan Chase Bank, N.A.
P.O. Box 260180
Baton Rouge, Louisiana 708260180

Signed: Scott Vernon Raymont
Date Signed: 01/27/2009
Official Committee FAX: 2163834918

(End FEC FORM 1)


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