FEC Form 1 for United States Filter Corporation Political Action CommitteeForm 1 for United States Filter Corporation Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-66596

1. United States Filter Corporation Political Action Committee

40-004 Cook Street
Palm Desert, CA 92211
Email: Kevin.duffy@usfilter.com

2. Date: 10/01/2002

3. FEC Committee ID #: C00326058 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Committee ID# C00117408
UNIVERSAL STUDIOS POLITICAL ACTION COMMITTEE
100 Universal City Plaza
Universal City, California 91608
Relationship: Affiliated
Organization Type: Corporation

Custodian of Records:

KEVIN - DUFFY
75 Technology Drive
Lowell, MA 01851
Title: Custodian
Phone # (978) 614-7438

Treasurer:

Mr. JAMES DIERKER
40-004 Cook St.
Palm Desert, California 92211
Title: Treasurer
Phone # (760) 341-8140

Designated Agent(s):

Mr. BRIAN ANDERSON
40-004 Cook Street
Palm Desert, California 92211
Title: Assistant Treasurer
Phone # (760) 341-8148

Banks or Depositories

Valley Independent Bank
42-005 Cook St.
Suite 310
Palm Desert, California 92211

Signed: Mr. JAMES DIERKER
Date Signed: 10/31/2002

(End FEC FORM 1)

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