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American Teleservices Association Political Action Committee …
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Created: Fri Dec 30 10:01:17 2005
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American Teleservices Association
Political Action Committee
3815 River Crossing Parkway
Suite 20
Indianapolis, IN 46240
(317) 816-9336
Federal Elections Commission
Reporting # C00397083
Contribution Information
The ATA Political Action Committee is required by the Federal Elections Commission to
report certain information about the source of contributions to our PAC.
Please complete the following and submit with your contribution.
Full Name (Last, MI, First)
Street Address
City, State, Zip
Name of Employer &
Occupation
If Contribution from a Political Action Committee,
FEC # of Contributing Committee
Date: Amount of
Contribution:
If Contributing by Credit Card:
American Express Name on Card
Discover
Mastercard/VISA Card #
Expiration Date
Contributions to Political Action Committees are not deductible for Federal Income Tax purposes and may
only be made by individuals, not companies. Further, contributions are generally limited to $2,100 per
primary plus $2,000 per general election cycle.
The ATA PAC sincerely appreciates your support