FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-941375
1. VICKY PAC
PO Box 531Harrisonville, MO 64701
NOTE: Address is different than previously reported
Email: merilee@e-numerus.comNOTE: Email address is different than previously reported
2. Date: 07/17/2014
3. FEC Committee ID #: C00499798This 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)
Date Signed: 07/17/2014