FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-170866
1. CHANGE NEW YORK PAC
NOTE:Commmittee Name is different than previously reported
535 WEST 34TH STREETNEW YORK, NY 10001
Fax: 3202159596
2. Date: 04/15/2005
3. FEC Committee ID #: C00407882This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
Affiliated Committees/Organizations
None
, ____
None
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Custodian of Records:
SCOTT B MACKENZIE
3464 SOUTH UTAH STREET
ARLINGTON, VA 22206
Title: TREASURER
Phone # (703) 868-1776
Treasurer:
SCOTT B MACKENZIE
3464 SOUTH UTAH STREET
ARLINGTON, Virginia 22206
Title: TREASURER
Phone # (703) 868-1776
Designated Agent(s):
MICHAEL BENJAMIN
535 WEST 34TH STREET
NEW YORK, New York 10001
Title: DESIGNATED AGENT
Phone # (212) 713-5849
Banks or Depositories
UNITED BANK
4221 WALNEY ROAD
CHANTILLY, Virginia 20151
JP MORGAN CHASE BANK
2 PENNSYLVANIA PLAZA
NEW YORK, New York 10121
Signed: SCOTT B MACKENZIE
Date Signed: 04/15/2005
Official Committee FAX: 3202159596
(End FEC FORM 1)
Date Signed: 04/15/2005
Official Committee FAX: 3202159596