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FEC Form 1 for NCR CORPORATION POLITICAL ACTION COMMITTEE (NCRPAC)Form 1 for NCR CORPORATION POLITICAL ACTION COMMITTEE (NCRPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-303539


1. NCR CORPORATION POLITICAL ACTION COMMITTEE (NCRPAC)

    616 H Street N.W.
    Suite 500
    Washington, DC 20001
    Fax: 2023785661
    Email: noelle.gumm@ncr.com

2. Date: 09/17/2007

3. FEC Committee ID #: C00324103 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:


Treasurer:

Tim Hefferan
616 H Street N.W.
Suite 500
Washington, DC 20001
Phone # (516) 810-0453

Designated Agent(s):

Banks or Depositories

Signed: Tim Heffernan
Date Signed: 09/17/2007
Official Committee FAX: 2023785661

(End FEC FORM 1)


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