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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1026240

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1. Citizen PAC, Inc.

    NOTE:Commmittee Name is different than previously reported

    PO Box 6655
    Madison, WI 53716
    Email: Jim_Gidwitz@contmtl.com;cmarston@nrreports.net

    NOTE: Email address is different than previously reported

2. Date: 09/28/2015

3. FEC Committee ID #: C00586552

This 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. Jim Gidwitz
200 S Wacker Dr
Ste 4000
Chicago, IL 60606
Title: Treasurer
Phone # (312) 541-7214

Treasurer:

Mr. Jim Gidwitz
200 S Wacker Dr
Ste 4000
Chicago, Illinois 60606
Title: Treasurer
Phone # (312) 541-7214

Designated Agent(s):

Chris Marsotn
PO Box 26141
Alexandria, Virginia 22313
Title: Assistant Treasurer

Banks or Depositories

Northern Trust
50 S LaSalle St
Chicago, Illinois 60603

Signed: Mr. Jim Gidwitz
Date Signed: 09/29/2015

(End FEC FORM 1)

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