FEC Form 1 for LCR PACForm 1 for LCR PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-796247

1. LCR PAC

1090 Vermont Ave NW, Suite 850
Washington, DC 20005

NOTE: Address is different than previously reported

Email: rccooper@logcabin.org

NOTE: Email address is different than previously reported

2. Date: 07/01/2012

3. FEC Committee ID #: C00405506 This committee is a separate segregated fund. Its connected organization is a Membership Organization
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Log Cabin Republicans
1090 Vermont Ave NW
Suite 850
Washington, DC 20005
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mr. R. Clarke Cooper
1090 Vermont Ave NW
Suite 850
Washington, DC 20005
Title: Treasurer
Phone # (202) 360-4445

Treasurer:

Mr. R. Clarke Cooper
1090 Vermont Ave NW
Suite 850
Washington, DC 20005
Title: Treasurer
Phone # (202) 360-4445

Designated Agent(s):

Jerry T Katlin
8041 W 47TH ST
Overland Park, Kansas 66203
Title: Assistant Treasurer
Phone # (913) 261-0210

Banks or Depositories

Wells Fargo
1050 Connecticut Ave NW
Washington, DC 20036

Signed: Mr. R. Clarke Cooper
Date Signed: 07/13/2012
Official Committee URL: www.logcabin.org

(End FEC FORM 1)

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