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-290821

1. SOUTHERN STATES POLICE BENEVOLENT ASSOC PAC FUND

P.O. BOX 1898
MCDONOUGH, GA 30253

NOTE: Address is different than previously reported

Email: sdunn@sspba.org

2. Date: 06/14/2007

3. FEC Committee ID #: C00265546 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

SOUTHERN STATES POLICE BENEVOLENT ASSOC INC.
1900 BRANNAN ROAD
MCDONOUGH, Georgia 30253
Relationship: CONNECTED
Organization Type: Membership Organization

Custodian of Records:

Treasurer:

DIANA RENEE DIXON
P.O. BOX 1898
MCDONOUGH, Georgia 30253
Title: TREASURER/COO
Phone # (770) 389-5391

Designated Agent(s):

WAYNE TUBB
P.O. BOX 1898
MCDONOUGH, Georgia 30253
Title: ASST TREASURER
Phone # (770) 389-5391

Banks or Depositories

FIRST NATIONAL BANK
2750 HWY 42 NORTH
MCDONOUGH, Georgia 30253

Signed: DIANA RENEE DIXON
Date Signed: 06/14/2007

(End FEC FORM 1)

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