FEC Form 1 for ASSOCIATION OF CIVILIAN TECHNICIANS POLITICAL ACTION COMMITTEE FUNDForm 1 for ASSOCIATION OF CIVILIAN TECHNICIANS POLITICAL ACTION COMMITTEE FUND

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-393681

1. ASSOCIATION OF CIVILIAN TECHNICIANS POLITICAL ACTION COMMITTEE FUND

12620 LAKE RIDGE DRIVE
LAKE RIDGE, VA 22192
Fax: 7034940961
Email: tbastas@actnat.com

2. Date: 01/06/2009

3. FEC Committee ID #: C00348292 This committee is a separate segregated fund. Its connected organization is a Labor Organization

Affiliated Committees/Organizations

ASSOCIATION OF CIVILIAN TECHNICIANS
12620 LAKE RIDGE DRIVE
WOODBRIDGE, Virginia 22192
Affiliated Relationship Code: Connected Organization

Custodian of Records:

TERRY W. GARNETT
12620 LAKE RIDDGE DRIVE
WOODBRIDGE, VA 22192
Title: PRESIDENT
Phone # (703) 494-4845

Treasurer:

TERRY W. GARNETT
12620 LAKE RIDDGE DRIVE
WOODBRIDGE, Virginia 22192
Title: PRESIDENT
Phone # (703) 494-4845

Designated Agent(s):

TERRY W. GARNETT
12620 LAKE RIDDGE DRIVE
WOODBRIDGE, Virginia 22192

Banks or Depositories

TD BANK
13630 FOULGER SQUARE
WOODBRIDGE, Virginia 22192

Signed: Thomas Bastas
Date Signed: 01/06/2008
Official Committee URL: www.actnat.com
Official Committee FAX: 7034940961

(End FEC FORM 1)

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