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FEC Form 1 for Continuing A Majority Party Action Committee (CAMPAC)Form 1 for Continuing A Majority Party Action Committee (CAMPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-773526

1. Continuing A Majority Party Action Committee (CAMPAC)

    5915 Eastman Avenue
    Suite 100
    Midland, MI 486406824
    Email: jackie.medema@ahpplc.com

2. Date: 04/01/2012

3. FEC Committee ID #: C00350462

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
     In addition, this committee is a Leadership PAC.

Affiliated Committees/Organizations

David Lee Camp
5905 Wimbledon Court
Midland, Michigan 486427004
Affiliated Relationship Code: Leadership PAC Sponsor

Custodian of Records:

Jacqueline M. Medema
5915 Eastman Avenue
Suite 100
Midland, MI 486406824
Title: Treasurer
Phone # (989) 835-7721

Treasurer:

Jacqueline M. Medema
5915 Eastman Avenue
Suite 100
Midland, Michigan 486406824
Title: Treasurer
Phone # (989) 835-7721

Designated Agent(s):

Banks or Depositories

CHEMICAL BANK & TRUST
333 E Main Street
Midland, Michigan 486406511

Signed: Jacqueline M. Medema
Date Signed: 04/06/2012

(End FEC FORM 1)


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