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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1020210

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1. CEMENT KILN RECYCLING COALITION POLITICAL ACTION COMM

    P.O. Box 7553
    Arlington, VA 22207
    Email: mlusk@ckrc.org

2. Date: 08/03/2015

3. FEC Committee ID #: C00287524 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

Cement Kiln Recycling Coalition
P.O Box 7553
Arlington, Virginia 22207
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Mrs. Michelle G. Lusk
P.O. Box 7553
Arlington, Virginia 22207
Title: Executive Director
Phone # (703) 624-4513

Designated Agent(s):

Banks or Depositories

Bank Of America
P.O. Box 15284
Wilimington, Delaware 19850

Signed: Mrs. Michelle G. Lusk
Date Signed: 08/03/2015

(End FEC FORM 1)

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