FEC Form 1 for Howard Jarvis Taxpayers Association Political Action CommitteeForm 1 for Howard Jarvis Taxpayers Association Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-140067

1. Howard Jarvis Taxpayers Association Political Action Committee

621 So. Westmoreland Avenue #201
Los Angeles, CA 90005

NOTE: Address is different than previously reported

2. Date: 10/15/2004

3. FEC Committee ID #: C00255232 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Howard Jarvis Taxpayers Association
621 Westmoreland Ave. Ste. 201
Los Angeles, California 90005
Relationship: Taxpayers
Organization Type: Membership Organization

Custodian of Records:

Colleen C. McAndrews
1441 Fourth St.
Santa Monica, CA 90401
Title: CST
Phone # (310) 458-1405

Treasurer:

Colleen C. McAndrews
1441 Fourth St.
Santa Monica, California 90401
Title: Treasurer
Phone # (310) 260-2666

Designated Agent(s):

Cheryl L. Lombard
1441 Fourth St.
Santa Monica, California 90401
Title: Assistant Treasurer
Phone # (310) 458-1405

Banks or Depositories

Bank of America
818 W. 7th St. Ste. 100
Los Angeles, California 90017

Signed: Colleen C. McAndrews
Date Signed: 10/15/2004

(End FEC FORM 1)

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