FEC Form 1 for VICKY PACForm 1 for VICKY PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-941375

1. VICKY PAC

PO Box 531
Harrisonville, MO 64701

NOTE: Address is different than previously reported

Email: merilee@e-numerus.com

NOTE: Email address is different than previously reported

2. Date: 07/17/2014

3. FEC Committee ID #: C00499798

This 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# H0MO04086
VICKY HARTZLER
30218 S. PLEASANT RIDGE ROAD
HARRISONVILLE, Missouri 64701
Affiliated Relationship Code: Leadership PAC Sponsor

Custodian of Records:

Merilee Martin
2030 SW Sims Ave
Topeka, KS 66604
Title: Custodian of Records
Phone # (785) 633-0240

Treasurer:

Mr. Terry Kilroy
900 W 48th Place Ste 900
Kansas City, Missouri 64112
Title: Treasurer
Phone # (816) 374-0533

Designated Agent(s):

Mr. Terry Kilroy
900 W 48th Place Ste 900
Kansas City, Missouri 64112
Title: Treasurer
Phone # (816) 374-0533

Banks or Depositories

Boone County National Bank
PO Box 4500
Jefferson City, Missouri 65102

UMB Bank
5923 SW 29th St
Topeka, Kansas 66614

Signed: Mr. Terry Kilroy
Date Signed: 07/17/2014

(End FEC FORM 1)

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