FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-175463
1. Impact
509 Madison Ave.Suite 1902
New York, NY 10022
NOTE: Address is different than previously reported
2. Date: 05/27/2005
3. FEC Committee ID #: C00348607This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
Affiliated Committees/Organizations
Custodian of Records:
Jennifer Bayer-Michaels
509 Madison Ave.
Suite 1902
New York, NY 10022
Title: Executive Director
Treasurer:
David A. Barrett
509 Madison Ave.
Suite 1902
New York, New York 10022
Title: Treasurer
Designated Agent(s):
Banks or Depositories
Bank of America
1455 Newport Ave.
Pawtucket, Rhode Island 02861
Signed: David A. Barrett
Date Signed: 05/27/2005
(End FEC FORM 1)
Date Signed: 05/27/2005