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FEC Disclosure Form 1M for Innovation PACForm 1M for Innovation PAC

FEC FORM 1M

NOTIFICATION OF MULTICANDIDATE STATUS

FILING FEC-772290


1. Innovation PAC

PO BOX 75021
Washington, DC 20013

2. FEC Committee ID #: C00486837

3. This is NOT a state party committee

4. STATUS BY AFFILIATION:

The committee submitted its Statement of Organization (FEC FORM 1)
on ________________________ and simultaneously qualified as a multicandidate committee through its
affiliation with:

Committee Name: ________________________
FEC Identification Number: _______________________

5. STATUS BY QUALIFICATION:

(a) Candidates: The committee has made contributions to the five federal candidates listed below:


NameOffice SoughtState/DistrictDate
(i) CHARLES J FLEISCHMANN
House of Representatives
Tennessee/03
12/22/2011
(ii) ROBERT J GARAGIOLA
House of Representatives
Maryland/06
12/22/2011
(iii) SCOTT P BROWN
Senate
Massachusetts/00
12/29/2011
(iv) MARY L LANDRIEU
Senate
Louisiana/00
12/27/2011
(v) OLYMPIA J SNOWE
Senate
Maine/00
12/27/2011

(b) Contributors: The committee received a contribution from its 51st contributor on: 03/26/2012

(c) Registration: The committee has been registered for at least 6 months. FEC FORM 1 was submitted on: 07/14/2010

(d) Qualification: The committee met the above requirements on: 03/26/2012

Treasurer: Dan Backer
Date Signed: 03/26/2012

(End FEC FORM 1M)


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