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FEC Form 1 for Brickman Group Political Action CommitteeForm 1 for Brickman Group Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-288390

1. Brickman Group Political Action Committee

    NOTE:Commmittee Name is different than previously reported

    18227D Flower Hill Way
    Gaithersburg, MD 20879

    NOTE: Address is different than previously reported

    Fax: 2406832025

2. Date: 05/15/2007

3. FEC Committee ID #: C00358606 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Brickman Group Holdings Inc.
18227D Flower Hill Way
Gaithersburg, Maryland 20879
Relationship: Connected
Organization Type: Corporation

Custodian of Records:

Mark A. Hjelle
18227D Flower Hill Way
Gaithersburg, MD 20879
Title: Treasurer
Phone # (240) 683-2014

Treasurer:

Mark A. Hjelle
18227D Flower Hill Way
Gaithersburg, Maryland 20879
Title: Treasurer
Phone # (240) 683-2014

Designated Agent(s):

Banks or Depositories

Wachovia Bank
7203 New Falls Road
Levittown, Pennsylvania 19055

Signed: Mark A. Hjelle
Date Signed: 05/15/2007
Official Committee FAX: 2406832025

(End FEC FORM 1)


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