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-769099

1. ASSOCIATION OF CIVILIAN TECHNICIANS POLITICAL ACTION COMMITTEE FUND

12620 LAKE RIDGE DRIVE
LAKE RIDGE, VA 22192
Email: TGARNETT@ACTNAT.COM

2. Date: 03/06/2012

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: TREASURER
Phone # (703) 494-4845

Treasurer:

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

Designated Agent(s):

Banks or Depositories

TD BANK
13630 FOULGER SQUARE
WOODBRIDGE, Virginia 22192

Signed: TERRY W. GARNETT
Date Signed: 03/06/2012
Official Committee URL: WWW.ACTNAT.COM

(End FEC FORM 1)

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