FEC Form 1 for Concerned Women Political Action CommitteeForm 1 for Concerned Women Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-54987

1. Concerned Women Political Action Committee

NOTE:Commmittee Name is different than previously reported

PO Box 66680
Washington, DC 200356680

NOTE: Address is different than previously reported

Email: concernwomenpac@aol.com

2. Date: 10/15/2002

3. FEC Committee ID #: C00375865 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Committee ID# C00375865
Concerned Women Political Action Committee
PO Box 66680
Washington, DC 200356680
Relationship: Conncected
Organization Type: Membership Organization

Custodian of Records:

Lee LaHaye
1015 Fifteenth Street NW
Suite 1100
Washington, DC 200356680
Title: Treasurer
Phone # (202) 488-7000

Treasurer:

Lee LaHaye
1015 Fifteenth Street NW
Suite 1100
Washington, DC 200356680
Title: Treasurer
Phone # (202) 488-7000

Designated Agent(s):

Banks or Depositories

Sun Trust
1445 New York Ave
NW
Washongton, DC 20005

Signed: Lee LaHaye
Date Signed: 10/15/2002

(End FEC FORM 1)

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