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FEC Form 1 for ImpactForm 1 for Impact

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 #: C00348607

This 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)


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