FEC Form 1 for LOUISIANA SHERIFFS' ASSOCIATION - LOUISIANA SHERIFFS' & DEPUTIES' POLITICAL ACTION CMTEForm 1 for LOUISIANA SHERIFFS' ASSOCIATION - LOUISIANA SHERIFFS' & DEPUTIES' POLITICAL ACTION CMTE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-20743

1. LOUISIANA SHERIFFS' ASSOCIATION - LOUISIANA SHERIFFS' & DEPUTIES' POLITICAL ACTION CMTE

1175 NICHOLSON DR
BATON ROUGE, LA 70802
Email: trey@lsa.org

2. Date: 10/10/2001

3. FEC Committee ID #: C00357905 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Committee ID# C00357905
LOUISIANA SHERIFFS' ASSOCIATION - LOUISIANA SHERIFFS' & DEPUTIES' POLITICAL ACTION CMTE
1175 NICHOLSON DR
BATON ROUGE, Louisiana 70802
Relationship: Affiliated
Organization Type: Trade Association

Custodian of Records:

Mr. Allen R Hodgkins, III
1175 Nicholson Dr
Baton ROuge, LA 70802
Title: Asst. Treasurer
Phone # (225) 387-8739

Treasurer:

Mr. Mike Knoblock
1175 Nicholson Dr
Baton Rouge, Louisiana 70802
Title: Treasurer
Phone # (225) 343-8402

Designated Agent(s):

Banks or Depositories

Bank One
P.O. Box 3399
Baton Rouge, Louisiana 70821

Signed: Mr. Mike Knoblock
Date Signed: 10/15/2001

(End FEC FORM 1)

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