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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-747341

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1. CatholicVote.org Political Action Committee

    PO BOX 2709
    Chicago, IL 60690
    Email: brianburch@catholicvote.org

    NOTE: Email address is different than previously reported

2. Date: 10/11/2011

3. FEC Committee ID #: C00411181 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

CatholicVote.org
PO BOX 2709
Chicago, Illinois 60690
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Joshua Ohmann Mercer
PO BOX 2709
Chicago, IL 60690
Title: Assistant Treasurer
Phone # (312) 276-5119

Treasurer:

Brian Burch
PO BOX 2709
Chicago, Illinois 60690
Title: Treasurer
Phone # (312) 201-6559

Designated Agent(s):

Banks or Depositories

Private Bank
70 W Madison St.
Ste 200
Chicago, Illinois 60602

Signed: Brian Burch
Date Signed: 10/11/2011
Official Committee URL: www.catholicvote.org

NOTE: URL is different than previously reported

(End FEC FORM 1)

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