FEC Form 1 for Jean A. Carnahan Political Action CommitteeForm 1 for Jean A. Carnahan Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-274276

1. Jean A. Carnahan Political Action Committee

PO BOX 920
ROLLA, MO 65402
Email: jac.pac@csdatamanagers.com

2. Date: 09/10/2003

3. FEC Committee ID #: C00364232

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

None
, ____

Custodian of Records:

Scott Sorrell Assistant Treasurer
2000 Vienna Rd
Rolla, MO 65401

Treasurer:

Thomas S. Carnahan
211 N Broadway STE 2980
St. Louis, Missouri 63102
Title: Treasurer

Designated Agent(s):

Scott Sorrell Assistant Treasurer
2000 Vienna Rd
Rolla, Missouri 65401
Title: Assistant Treasurer
Phone # (573) 364-4950

Jean A. Carnahan
312 N Meramec No 203
St. Louis, Missouri 63105
Title: Assistant Treasurer

Banks or Depositories

Bank of America
210 West 8th Street
Rolla, Missouri 65401

Signed: Thomas S. Carnahan
Date Signed: 01/31/2007

(End FEC FORM 1)

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