FEC Form 1 for NATIONAL CHILD CARE ASSOCIATION INC POLITICAL ACTION COMMITTEEForm 1 for NATIONAL CHILD CARE ASSOCIATION INC POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-365432

1. NATIONAL CHILD CARE ASSOCIATION INC POLITICAL ACTION COMMITTEE

113 Fieldstone Road
Spartansburg, SC 29301

NOTE: Address is different than previously reported

Email: mdarstein@nccanet.org

2. Date: 10/06/2008

3. FEC Committee ID #: C00385567 This committee is a separate segregated fund. Its connected organization is a

Affiliated Committees/Organizations

National Child Care Association
113 Fieldstone Road
Spartansburg, South Carolina 29301
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Ms Marie W. Darstein
113 Fieldstone Road
Spartansburg, SC 29301
Title: Custodian of Records
Phone # (864) 415-2095

Treasurer:

Mr. Mark L. Rosenberg, Esq.
6101 Shady Oak Lane
Bethesda, Maryland 20817
Title: Treasurer
Phone # (864) 415-2095

Designated Agent(s):

Mr. Johnny Anderson
4289 South El Camino Street
Taylorsville, Utah 84115
Title: Assistant Treasurer
Phone # (801) 974-9096

Banks or Depositories

SunTrust Bank
P.O. Box 3833
Orlando, Florida 32897

Signed: Mr. Mark L. Rosenberg, Esq.
Date Signed: 10/06/2008
Official Committee URL: http://www.nccanet.org

(End FEC FORM 1)

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