FEC Form 1 for IMPACTForm 1 for IMPACT

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-744518

1. IMPACT

192 Lexington Ave.
Suite 1001
New York, NY 10016

NOTE: Address is different than previously reported

Email: IMPACT.PAC@gmail.com

2. Date: 09/13/2011

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.
In addition, this committee is a Leadership PAC.

Affiliated Committees/Organizations

Committee ID# C00346312
Charles E. Schumer
192 Lexington Ave.
Suite 1001
New York, New York 10016
Affiliated Relationship Code: Leadership PAC Sponsor

Custodian of Records:

Nicholas Kutryb
192 Lexington Ave.
Suite 1001
New York, NY 10016
Title: Finance Director

Treasurer:

David A. Barrett
192 Lexington Ave.
Suite 1001
New York, New York 10016
Title: Treasurer

Designated Agent(s):

Banks or Depositories

Citizens Bank
206 East Washington St.
North Attleboro, Massachusetts 02760

Signed: David A. Barrett
Date Signed: 09/13/2011

(End FEC FORM 1)

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