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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-158664

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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: 01/12/2005

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

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

, ____

Designated Agent(s):

Renato Tamaro
STERIS Corporation
5960 Heisley Road
Mentor, Ohio 44060
Title: PAC Assistant Treas

Banks or Depositories

Signed: Michael Oleksa
Date Signed: 01/12/2005
Official Committee FAX: 440-392-8950

(End FEC FORM 1)

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