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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-35587

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1. INDOOR TANNING ASSOCIATION PAC

    3870 North Rixey Street
    Arlington, VA 22207

    NOTE: Address is different than previously reported

2. Date: 05/07/2002

3. FEC Committee ID #: C00362020 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Indoor Tanning Association Inc.
PO BOX 4001
Jackson, Michigan 49201
Relationship: Connected Org
Organization Type: Trade Association

Custodian of Records:

John Overstreet
3870 North Rixey Street
Arlington, VA 22207
Title: Treasurer/Custodian
Phone # (703) 532-4326

Treasurer:

John Overstreet
3870 North Rixey Street
Arlington, Virginia 22207
Title: Treasurer
Phone # (703) 532-4326

Designated Agent(s):

Banks or Depositories

Virginia Commerce Bank
5350 Lee Highway
Arlington, Virginia 22207

Signed: John Overstreet
Date Signed: 05/07/2002

(End FEC FORM 1)

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