FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-196653
1. Federal Independent Campaign Committee
1325 S WabashSuite 105
Chicago, IL 60605
Fax: 3129393395
Email: Indcamcom@yahoo.com
2. Date: 10/11/2004
3. FEC Committee ID #: C00262923This 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):
Rich Whitehead
26 Bigelow
Park Forest, Illinois 60466
Title: Chair
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: 01/19/2006
Official Committee FAX: 3129393395
(End FEC FORM 1)
Date Signed: 01/19/2006
Official Committee FAX: 3129393395