FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-718476
1. Crowe PAC
3815 River Crossing ParkwaySuite 300
Indianapolis, IN 462400977
Email: bob.lazard@crowehorwath.com
NOTE: Email address is different than previously reported
2. Date: 03/21/2011
3. FEC Committee ID #: C00451518This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
Affiliated Committees/Organizations
NONE
, ____
Custodian of Records:
Mr. Robert W. Lazard
3815 River Crossing Parkway
Suite 300
Indianapolis, IN 462400977
Title: Treasurer
Phone # (317) 706-2633
Treasurer:
Mr. Robert W. Lazard
3815 River Crossing Parkway
Suite 300
Indianapolis, Indiana 462400977
Title: Treasurer
Phone # (317) 706-2633
Designated Agent(s):
Ms Sydney K Garmong
4408 Volta Place NW
Washington, DC 20007
Title: Assistant Treasurer
Phone # (202) 333-0375
Banks or Depositories
Chase Bank
8630 Keystone Crossing
Indianapolis, Indiana 46240
Signed: Mr. Robert W. Lazard
Date Signed: 03/21/2011
(End FEC FORM 1)
Date Signed: 03/21/2011