FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-751205
1. CAROLYN'S PAC
24 East 93rd StreetSuite 1B
New York, NY 10128
Email: melimendez@yahoo.com
2. Date: 10/27/2011
3. FEC Committee ID #: C00341990This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
Affiliated Committees/Organizations
NONE
, ____
Custodian of Records:
Ms Melissa A. Mendez
25-35 100th Street
East Elmhurst, NY 11369
Treasurer:
Ms Melissa A. Mendez
25-35 100th Street
East Elmhurst, New York 11369
Title: Treasurer
Phone # (917) 345-3829
Designated Agent(s):
Banks or Depositories
Chase
270 Park Avenue
New York, New York 10017
Signed: Ms Melissa A. Mendez
Date Signed: 10/27/2011
(End FEC FORM 1)
Date Signed: 10/27/2011