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-410544

1. SOUTHERN STATES POLICE BENEVOLENT ASSOC PAC FUND

2155 HIGHWAY 42 SOUTH
MCDONOUGH, GA 30252

2. Date: 03/31/2009

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

NONE
, ____

Custodian of Records:

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

Banks or Depositories

FIRST NATIONAL BANK
2750 HWY 42 NORTH
MCDONOUGH, Georgia 30253

Signed: DIANA RENEE DIXON
Date Signed: 03/31/2009

(End FEC FORM 1)

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