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FEC Form 1 for Aqua America Inc. H2O Political Action CommitteeForm 1 for Aqua America Inc. H2O Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-240441


1. Aqua America Inc. H2O Political Action Committee

    NOTE:Commmittee Name is different than previously reported

    762 West Lancaster Avenue
    Bryn Mawr, PA 19010
    Fax: 610-645-1061
    Email: H2O_PAC@myfecnotices.com

2. Date: 10/03/2006

3. FEC Committee ID #: C00340455 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Aqua America Inc.
762 West Lancaster Avenue
Bryn Mawr, Pennsylvania 19010
Relationship: Connected Organization
Organization Type: Corporation

Custodian of Records:

Mr. Wade Williams
PAC Services LLC
7700 Old Branch Avenue Suite D-10
Clinton, MD 20735
Title: CEO
Phone # (301) 868-1888

Treasurer:

Mr. Michael Garza
762 West Lancaster Avenue
Bryn Mawr, Pennsylvania 19010
Title: Treasurer
Phone # (610) 645-1178

Designated Agent(s):

Ms. Karen Carlson
762 West Lancaster Avenue
Bry Mawr, Pennsylvania 19010
Title: Assistant Treasurer
Phone # (610) 525-1400

Banks or Depositories

Susquehanna Patriot Bank
101 Bryn Mawr Avenue
PO Box 190
Bryn Mawr, Pennsylvania 19010

Signed: Mr. Michael Garza
Date Signed: 10/03/2006
Official Committee FAX: 610-645-1061

(End FEC FORM 1)


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