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FEC Form 1 for Woolpert Inc. PACForm 1 for Woolpert Inc. PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-705575


1. Woolpert Inc. PAC

    4454 Idea Center Blvd.
    Dayton, OH 45430
    Email: mark.haberstroh@woolpert.com

2. Date: 01/11/2011

3. FEC Committee ID #: C00479899 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Woolpert Inc.
4454 Idea Center Blvd.
Dayton, Ohio 45430
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mr. Mark W. Haberstroh
4454 Idea Center Blvd
Dayton, OH 45430
Title: Treasurer
Phone # (937) 461-5660

Treasurer:

Mr. Mark W. Haberstroh
4454 Idea Center Blvd
Dayton, Ohio 45430
Title: Treasurer
Phone # (937) 461-5660

Designated Agent(s):

Josh Heid
4454 Idea Center Blvd.
Dayton, Ohio 45430
Title: Assistant Treasurer
Phone # (937) 531-1436

Banks or Depositories

US Bank
800 Courthouse Plaza SW
10 North Ludlow
Dayton, Ohio 454021826

Signed: Mr. Mark W. Haberstroh
Date Signed: 01/13/2011
Official Committee URL: woolpert.com

(End FEC FORM 1)


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