FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-160277
1. COUCH WHITE FEDERAL POLITICAL ACTION COMMITTEE (COUCH WHITE FEDERAL PAC)
540 BROADWAYPO BOX 22222
ALBANY, NY 12201
2. Date: 01/21/2005
3. FEC Committee ID #: C00363911This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
Affiliated Committees/Organizations
Custodian of Records:
Treasurer:
Barbara S. Brenner
, ____
Phone # (518) 426-4600
Designated Agent(s):
Banks or Depositories
Signed: Barbara S. Brenner
Date Signed: 01/21/2005
(End FEC FORM 1)
Date Signed: 01/21/2005