FEC Form 1 for NorthStar Leadership PACForm 1 for NorthStar Leadership PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-168513

1. NorthStar Leadership PAC

PO Box 28754
St. Paul, MN 55128

NOTE: Address is different than previously reported

Fax: 651-649-0486

2. Date: 04/22/2003

3. FEC Committee ID #: C00386573 This committee is an Authorized Committee,
and is NOT a Principal Campaign Committee. Candidate:
Party: National
Office Sought:
State is in District:

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Jeff Larson
7300 Hudson Blvd. Suite 270A
St. Paul, Minnesota 55128
Title: Treasurer

Designated Agent(s):

Banks or Depositories

Park Midway Bank
2265 Como Ave
St. Paul, Minnesota 55108

Signed: Jeff Larson
Date Signed: 03/21/2005
Official Committee FAX: 651-649-0486

(End FEC FORM 1)

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