FEC Form 1 for Fisher Scientific International Inc. Employees Committee for Sensible GovernmentForm 1 for Fisher Scientific International Inc. Employees Committee for Sensible Government

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-187513

1. Fisher Scientific International Inc. Employees Committee for Sensible Government

Liberty Lane
Hampton, NH 03842
Email: Cathy.MacArthur@fishersci.com

2. Date: 09/29/2005

3. FEC Committee ID #: C00292318 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Catherine MacArthur
1 Liberty Lane
Hampton, NH 03842
Title: Assistant Treasurer
Phone # (603) 929-2647

Treasurer:

Catherine MacArthur
1 Liberty Lane
Hampton, New Hampshire 03842
Title: Assistant Treasurer
Phone # (603) 929-2647

Designated Agent(s):

Banks or Depositories

Signed: Kevin P. Clark
Date Signed: 09/29/2005

(End FEC FORM 1)

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