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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-728637

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1. AMERICAN TELESERVICES ASSOCIATION PAC

    3815 RIVER CROSSING PKWY SUITE 20
    INDIANAPOLIS, IN 46240

2. Date: 05/17/2011

3. FEC Committee ID #: C00397083 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Robert Kobek
3815 River Crossing Parkway
Suite 20
Indianapolis, IN 46240

Treasurer:

Robert Kobek
3815 River Crossing Parkway
Suite 20
Indianapolis, Indiana 46240
Title: Interim President
Phone # (317) 816-9336

Designated Agent(s):

Banks or Depositories

Signed: Robert Kobek
Date Signed: 05/17/2011

(End FEC FORM 1)

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