FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-816923
1. GRASS ROOTS INITIATIVE TO MAINTAIN OUR MAJORITY POLITICAL ACTION COMMITTEE A/K/A/GRIMM PAC
PO BOX 2485SPRINGFIELD, VA 22152
Email: grimmpac@concentricoffice.com
2. Date: 10/15/2012
3. FEC Committee ID #: C00497677This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
In addition, this committee is a Leadership PAC.
Affiliated Committees/Organizations
Candidate ID# H0NY13074
MICHAEL GRIMM
560 9TH STREET
BROOKLYN, New York 11215
Affiliated Relationship Code: Leadership PAC Sponsor
Custodian of Records:
Robert F. Carlin
P.O. Box 2485
Sprinfield, VA 22152
Title: Treasurer
Phone # (703) 569-9400
Treasurer:
Robert F. Carlin
P.O. Box 2485
Sprinfield, Virginia 22152
Title: Treasurer
Phone # (703) 569-9400
Designated Agent(s):
Banks or Depositories
BB&T
1909 K Street, NW
Washington, DC 200061152
Chase Bank
1581 Route 202
Pomona, New York 10970
Signed: Robert F. Carlin
Date Signed: 10/15/2012
(End FEC FORM 1)
Date Signed: 10/15/2012