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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-130434

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1. STERIS Corporation Good Government Fund

    STERIS Corporation
    5960 Heisley Road
    Mentor, OH 44060
    Fax: 440-392-8950
    Email: Michael_Oleksa@steris.com

2. Date: 01/23/2004

3. FEC Committee ID #: C00368720 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Michael Oleksa
STERIS Corporation
5960 Heisley Road
Mentor, Ohio 44060
Phone # (440) 392-7585

Designated Agent(s):

David Jenkins
STERIS Corp
5960 Heisley Road
Mentor, Ohio 44060
Phone # (440) 392-7695

Banks or Depositories

Signed: Michael Oleksa
Date Signed: 08/05/2004
Official Committee FAX: 440-392-8950

(End FEC FORM 1)

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