FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-118510
1. CT Fourth Dems PAC
c/o Donna I. King 71 Aiken StreetQ-16
Norwalk, CT 06851
Email: dking418@optonline.net
2. Date: 04/26/2004
3. FEC Committee ID #: C00398461This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
Affiliated Committees/Organizations
None
, ____
Relationship: None
Custodian of Records:
Ms Donna King
71 Aiken Street
Q-16
Norwalk, CT 06851
Title: Treasurer
Phone # (203) 846-1009
Treasurer:
Ms Donna King
71 Aiken Street
Q-16
Norwalk, Connecticut 06851
Title: Treasurer
Phone # (203) 846-1009
Designated Agent(s):
Mr Ronald Kowalski
25 Burr Street
Easton, Connecticut 06612
Title: Assistant Treasurer
Phone # (203) 327-2000
Banks or Depositories
Citibank FSB Connecticut
999 High Ridge Road
Stamford, Connecticut 06905
Signed: Ms Donna King
Date Signed: 04/28/2004
(End FEC FORM 1)
Date Signed: 04/28/2004