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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1555917

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1. MANNIK AND SMITH GROUP INC PAC THE AKA MSG PAC

    NOTE:Commmittee Name is different than previously reported

    1800 INDIAN WOOD CIRCLE
    MAUMEE, OH 43537
    Email: sgladwell@manniksmithgroup.com;rmitchey@manniksmithgroup.com

    NOTE: Email address is different than previously reported

2. Date: 01/13/2022

3. FEC Committee ID #: C00497313 This committee is a separate segregated fund. Its connected organization is a

Affiliated Committees/Organizations

The Mannik & Smith Group, Inc.
1800 Indian Wood Circle
Maumee, Ohio 43537
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Robin Mitchey
1800 Indian Wood Circle
Maumee, OH 43537
Title: Custodian of Record
Phone # (419) 891-2222

Treasurer:

Sally Gladwell
1800 Indian Wood Circle
Maumee, Ohio 43537
Title: Treasurer
Phone # (419) 891-2222

Designated Agent(s):

Dean Niese
1800 Indian Wood Circle
Maumee, Ohio 43537
Title: Assistant Treasurer
Phone # (419) 891-2222

Banks or Depositories

Signature Bank, N.A.
4607 W. Sylvania Ave.
Toledo, Ohio 43623

Signed: Sally Gladwell
Date Signed: 01/13/2022

(End FEC FORM 1)

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