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FEC Form 1 for TSVC, Inc. Political Action Committee (Terracon PAC)Form 1 for TSVC, Inc. Political Action Committee (Terracon PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-428386

1. TSVC, Inc. Political Action Committee (Terracon PAC)

    18001 West 106th Street
    Suite 300
    Olathe, KS 66061

2. Date: 07/31/2009

3. FEC Committee ID #: C00457853 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

TSVC, Inc.
18001 West 106th Street
Suite 300
Olathe, Kansas 66061
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Comerica Bank
PAC Services
P.O. Box 75000, MC2250
Detroit, MI 482752250
Title: Recordkeeper
Phone # (248) 371-7268

Treasurer:

Ronald S. Siemiontkowski
P.O. Box 75000
MC2250
Detroit, Michigan 482752250
Title: Treasurer
Phone # (248) 371-5562

Designated Agent(s):

Banks or Depositories

Comerica Bank
P.O. Box 75000
Detroit, Michigan 48275

Signed: Ronald S. Siemiontkowski
Date Signed: 07/31/2009

(End FEC FORM 1)


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