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FEC Form 1 for Innovation PACForm 1 for Innovation PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-774239


1. Innovation PAC

    PO BOX 75021
    Washington, DC 20013
    Email: SBIRAction@innovationPAC.org

2. Date: 04/10/2012

3. FEC Committee ID #: C00486837

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Dan Backer
PO Box 75021
Washington, DC 20013
Title: Treasurer
Phone # (202) 210-5431

Treasurer:

Dan Backer
PO Box 75021
Washington, DC 20013
Title: Treasurer
Phone # (202) 210-5431

Designated Agent(s):

Banks or Depositories

Access National Bank
14006 Lee Jackson Memoial Hwy
Chantilly, Virginia 20151

Signed: Dan Backer
Date Signed: 04/10/2012
Official Committee URL: http://www.InnovationPAC.org

FORM TEXT

(End FEC FORM 1)


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