FEC Form 1 for SOUTHERN STATES POLICE BENEVOLENT ASSOC PAC FUNDForm 1 for SOUTHERN STATES POLICE BENEVOLENT ASSOC PAC FUND

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1448031

1. SOUTHERN STATES POLICE BENEVOLENT ASSOC PAC FUND

2155 HIGHWAY 42 SOUTH
MCDONOUGH, GA 30252
Email: dconklin@sspba.org;rwest@sspba.org

2. Date: 10/02/2020

3. FEC Committee ID #: C00265546 This committee is a separate segregated fund. Its connected organization is a Membership Organization
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Southern States Police Benevolent Association, Inc.
2155 Highway 42 S.
McDonough, Georgia 30252
Affiliated Relationship Code: Connected Organization

Custodian of Records:

WAYNE TUBB
2155 Highway 42 S
MCDONOUGH, GA 30252
Title: FINANCE DIRECTOR
Phone # (770) 389-5391

Treasurer:

DIANA RENEE DIXON
2155 HIGHWAY 42 SOUTH
MCDONOUGH, Georgia 30252
Title: CHIEF OPER OFFICER
Phone # (770) 389-5391

Designated Agent(s):

WAYNE TUBB
2155 Highway 42 S.
MCDONOUGH, Georgia 30252
Title: FINANCE DIRECTOR
Phone # (770) 389-5391

Banks or Depositories

Bank of the Ozarks
1400 S Zack Hinton Pkwy
McDonough, Georgia 30252

Signed: DIANA RENEE DIXON
Date Signed: 10/14/2020
Official Committee URL: https://www.sspba.org

FORM TEXT-1

(End FEC FORM 1)

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