FEC Form 1 for Federal Independent Campaign CommitteeForm 1 for Federal Independent Campaign Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-107024

1. Federal Independent Campaign Committee

1325 S Wabash
Suite 105
Chicago, IL 60605

NOTE: Address is different than previously reported

Email: IndCampaign@earthlink.net

2. Date: 01/31/2004

3. FEC Committee ID #: C00262923

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

Custodian of Records:

Aviva Miriam Patt
2719 N Albany
Chicago, IL 60647

Treasurer:

David Igasaki
3232 N Halsted
Chicago, Illinois 60657

Designated Agent(s):

Leslie Sturino
720 S Dearbron #203
Chicago, Illinois 60605
Title: Chair
Phone # (312) 913-1004

David Igasaki
3232 N Halsted
Chicago, Illinois 60657
Title: Treasurer
Phone # (773) 477-1924

Aviva Miriam Patt
2719 N Albany
Chicago, Illinois 60647
Title: Asst Treasurer
Phone # (773) 342-5266

Banks or Depositories

Signed: David Igasaki
Date Signed: 01/31/2004

(End FEC FORM 1)

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