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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-455605

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1. Michigan Infrastructure & Transportation Association Federal PAC

    P. O. Box 1640
    Okemos, MI 488051640
    Email: nicolecook@mi-ita.com

    NOTE: Email address is different than previously reported

2. Date: 03/16/2010

3. FEC Committee ID #: C00414235 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

Committee ID# C00414235
Michigan Infrastructure & Transportation Association Federal PAC
P. O. Box 1640
Okemos, Michigan 488051640
Affiliated Relationship Code: Connected Organization

Committee ID# C00414235
Michigan Infrastructure & Transportati
P. O. Box 1640
Okemos, Michigan 488051640
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Nicole Cook
P.O. Box 1640
Okemos, MI 48805
Title: Recordkeeper
Phone # (517) 347-8336

Treasurer:

Michael A. Nystrom
P.O. Box 1640
Okemos, Michigan 488051640
Title: Treasurer
Phone # (517) 347-8336

Designated Agent(s):

Michael A. Nystrom
P.O. Box 1640
Okemos, Michigan 488051640
Title: Exec. Vice President
Phone # (517) 347-8336

Nicole Cook
P.O. Box 1640
Okemos, Michigan 48805
Title: Asst. Treas/Recorder
Phone # (517) 347-8336

Nicole Cook
P.O. Box 1640
Okemos, Michigan 48805

Banks or Depositories

Citizens Bank
5050 Marsh Road
Okemos, Michigan 48864

Signed: Michael A. Nystrom
Date Signed: 03/16/2010

(End FEC FORM 1)

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