FEC Form 1 for SUSAN B ANTHONY LIST INC. CANDIDATE FUNDForm 1 for SUSAN B ANTHONY LIST INC. CANDIDATE FUND

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-746917

1. SUSAN B ANTHONY LIST INC. CANDIDATE FUND

1707 L Street, NW
Suite 750
Washington, DC 20036
Email: jgross@sba-list.org

NOTE: Email address is different than previously reported

2. Date: 09/12/2011

3. FEC Committee ID #: C00332296 This committee is a separate segregated fund. Its connected organization is a Membership Organization
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Susan B Anthony List, Inc.
1707 L Street NW
Ste 550
Washington, DC 20036
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Frank Cannon
1707 L Street NW Ste 750
Washington, DC 20036
Title: Treasurer
Phone # (202) 223-8073

Designated Agent(s):

Banks or Depositories

Chain Bridge Bank
1445-A Laughlin Ave
McLean, Virginia 22101

Signed: Frank Cannon
Date Signed: 10/06/2011

(End FEC FORM 1)

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