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FEC Form 1 for Children's Health, Life and Development Political Action Committee (CHLD PAC)Form 1 for Children's Health, Life and Development Political Action Committee (CHLD PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-728319


1. Children's Health, Life and Development Political Action Committee (CHLD PAC)

    455 Capitol Mall, Suite 600
    Sacramento, CA 95814
    Email: feccomm@bmhlaw.com

    NOTE: Email address is different than previously reported

2. Date: 05/16/2011

3. FEC Committee ID #: C00495465 This committee is a separate segregated fund. Its connected organization is a

Affiliated Committees/Organizations

None
, ____

Custodian of Records:

Charles H. Bell, Jr.
455 Capitol Mall, Suite 600
Sacramento, CA 95814
Title: Custodian of Records
Phone # (916) 442-7757

Treasurer:

Charles H. Bell
455 Capitol Mall, Suite 600
Sacramento, California 95814
Title: Treasurer
Phone # (916) 442-7757

Designated Agent(s):

Ashlee N. Titus
455 Capitol Mall, Suite 600
Sacramento, California 95814
Title: Assistant Treasurer
Phone # (916) 442-7757

Banks or Depositories

California Bank & Trust
550 South Hope Street, Suite 100
Los Angeles, California 90071

Signed: Ashlee N. Titus
Date Signed: 05/16/2011

(End FEC FORM 1)


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