FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1031638
1. AX PAC
PO Box 538Wausau, WI 54402
Email: michele@crosbyott.com
NOTE: Email address is different than previously reported
2. Date: 11/02/2015
3. FEC Committee ID #: C00506535This 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
SEAN DUFFY
PO BOX 538
WAUSAU, Wisconsin 54402
Affiliated Relationship Code: Leadership PAC Sponsor
Committee ID# C00544312
DUFFY FOR WISCONSIN
8401 EXCELSIOR DRIVE SUITE 103
MADISON, Wisconsin 53717
Affiliated Relationship Code: Joint Fundraising Representative
Custodian of Records:
Michele Reisner
PO Box 9891
Arlington, VA 22219
Title: Treasurer
Treasurer:
Michele Reisner
PO Box 9891
Arlington, Virginia 22219
Title: Treasurer
Designated Agent(s):
Banks or Depositories
River Valley Bank
327 N 17th Ave
Suite 100
Wausau, Wisconsin 54402
Chain Bridge Bank
1445-A Laughlin Ave
McLean, Virginia 22101
Signed: Michele Reisner
Date Signed: 11/02/2015
(End FEC FORM 1)
Date Signed: 11/02/2015