FEC Form 1 for DAVID VOLKERT & ASSOCIATES, INC. POLITICAL ACTION COMMITTEE ('DVA/HC PAC')Form 1 for DAVID VOLKERT & ASSOCIATES, INC. POLITICAL ACTION COMMITTEE ('DVA/HC PAC')

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1215522

1. DAVID VOLKERT & ASSOCIATES, INC. POLITICAL ACTION COMMITTEE ('DVA/HC PAC')

11 NORTH WATER STREET
SUITE 18290
MOBILE, AL 36602

NOTE: Address is different than previously reported

Email: micropac@micropac.net

2. Date: 03/20/2018

3. FEC Committee ID #: C00368902 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

DAVID VOLKERT & ASSOCIATES, INC.
11 NORTH WATER STREET
SUITE 18290
MOBILE, Alabama 36602
Affiliated Relationship Code: Connected Organization

Custodian of Records:

BILL DONELSON
PO BOX 24553
NASHVILLE, TN 372024553
Title: CUSTODIAN OF RECORDS
Phone # (615) 491-2140

Treasurer:

THOMAS A ZOGHBY
PO BOX 7434
MOBILE, Alabama 36670
Title: TREASURER
Phone # (251) 342-1070

Designated Agent(s):

Banks or Depositories

IBERIA BANK
2 S WATER STREET
MOBILE, Alabama 36602

Signed: THOMAS A ZOGHBY
Date Signed: 03/20/2018

(End FEC FORM 1)

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