FEC Form 1 for California Assn of Marriage & Family Therapists PACForm 1 for California Assn of Marriage & Family Therapists PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-274761

1. California Assn of Marriage & Family Therapists PAC

555 Capitol Mall Suite 1425
Sacramento, CA 95814
Email: cpr@olsonhagel.com

2. Date: 01/12/2007

3. FEC Committee ID #: C00346619 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

California Association of Marriage & Family Therapists
7901 Raytheon Road
San Diego, California 92111
Relationship: Connected Organization
Organization Type: Trade Association

Custodian of Records:

Lance H. Olson
555 Capitol Mall Suite 1425
Sacramento, CA 95814
Title: Attorney
Phone # (916) 442-2952

Treasurer:

Mary Riemersma
7901 Raytheon Road
San Diego, California 92111
Title: Treasurer
Phone # (858) 292-2638

Designated Agent(s):

Banks or Depositories

U.S. Bank
980 9th Street Suite 1200
Sacramento, California 95814

Signed: Mary Riemersma
Date Signed: 01/16/2007

(End FEC FORM 1)

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