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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-428980

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1. American Political Action Committee

    PO Box 1682
    Bellevue, WA 98009
    Email: alangottlieb@aol.com

2. Date: 08/07/2009

3. FEC Committee ID #: C99002396 This committee is a Principal Campaign Committee. Candidate:
Party:
Office Sought:
State is in District:

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Gottlieb M Alan
12500 NE 10th Pl
Bellevue, WA 98005
Title: President
Phone # (425) 454-7009

Treasurer:

J.H. Versnel
12500 NE 10th Place
Bellevue, Washington 98034

Designated Agent(s):

Banks or Depositories

CHASE BANK
P.O. Box 260180
Baton Rouge, Louisiana 70826

Bank of America
PO Box 2518
Houston, Texas 77252

Signed: J.H. Versnel
Date Signed: 08/07/2009
Official Committee URL: www.ameripac.org

(End FEC FORM 1)

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