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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-945708

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1. PUCK PAC

    2652 N Southport Ave.
    Unit E
    Chicago, IL 60614

    NOTE: Address is different than previously reported

    Email: fec@cfo-compliance.com

2. Date: 08/15/2014

3. FEC Committee ID #: C00524256

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
     In addition, this committee is a Leadership PAC.

Affiliated Committees/Organizations

Candidate ID# H0IL05096
Mike Quigley
2652 N Southport Ave
Unit E
Chicago, Illinois 60614
Affiliated Relationship Code: Leadership PAC Sponsor

Custodian of Records:

Brett P. Smiley
1 Park Row, 5th Floor
Providence, RI 02903
Title: Deputy Treasurer

Treasurer:

Barbara Quigley
2652 N Southport Ave
Unit E
Chicago, Illinois 60614
Title: Treasurer

Designated Agent(s):

Brett P. Smiley
1 Park Row, 5th Floor
Providence, Rhode Island 02903
Title: Deputy Treasurer

Banks or Depositories

MB Financial Bank
3179 North Clark Street
Chicago, Illinois 60657

Signed: Barbara Quigley
Date Signed: 08/15/2014

(End FEC FORM 1)

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