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1. Your Contact Inform ation: N am e: Alex Camarda, Director of Public Policy & Advocacy, Citizens Union Address: 299 Broadway Suite 700 H om e phone num ber: F ax num ber: Business phone num ber: 212-227-0342 ext. 24 Em ail address: acamarda@citizensunion.org
2. G iv e the follow ing inform ation, if av ailable, for the organization and/or indiv iduals about w hom you are com plaining or inquiring: O rganization N am e: Common Sense Principles O rganization Address: P.O. Box 96 Midlothian, VA 23113 O rganization phone num ber Individual Nam e Christopher Lacivita Individual Title /Pos ition Director : O rganization em ail address: Individual Addre s s Individual P hone No.
3. D etails of your co m plaint or inquiry (Please include as m uch specific detail as possible- continue on additional sheets if neces sary).
4. If you hav e any do cum ents in you r po ssession that relate to you r com plaint or inq uiry, please attach copies of them.
6. H av e yo u su bm itted your co m plaint or inquiry to an y other gov ern m en t agen cy? yes no X
If yes, please list the nam e of the agency, address, telephone num ber and nam e of any person contacted. Agency Contact Person Address Phone No.
7. Is a court action pending? yes no X If yes, please provide the nam e, title and index num ber of the proceeding and the nam e and location of the court, if available.
8. List the nam es, addresses and telephone num bers of any other individuals w ho m ay have know ledge of the conten ts of this com plaint or inquiry. Nam e Address Phone No.
Dick Dadey, Executive Director, Citizens Union. 299 Broadway, New York, NY 10007
9. D o you have any objection to the contents of this com plaint or inquiry being forw arded to or discussed with another governm ent agency? yes no X 10. D o you have any objection to your nam e and/or address being forwarded to or discussed with the organization or person who is the subject of this com plaint or inquiry? O bjection to Nam e and Address: yes no X O bjection to Nam e only: yes no X T he Attorney G eneral is not you r private attorney bu t represents the pu blic by enforcing law s design ed to protect the public and charities from m isleading or unlaw ful practices. If you have any questions co ncerning your personal leg al rights or responsibilities, you sh ould contact a priv ate attorney.
Alex Camarda
Signature Print Nam e
10/19/12
D ate