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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1000816

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1. IMPACT COMMITTEE

    617 E CUSTIS AVENUE
    ALEXANDRIA, VA 22301

    NOTE: Address is different than previously reported

    Email: macjo333@verizon.net

2. Date: 04/01/2015

3. FEC Committee ID #: C00525238

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# H2OH03067
REP MICHAEL R TURNER
5815 STONE LAKE DRIVE
DAYTON, Ohio 45429
Affiliated Relationship Code: Leadership PAC Sponsor

Custodian of Records:

Heather Henderson
617 E Custis Avenue
Alexandria, VA 22301
Title: Treasurer
Phone # (703) 706-5303

Treasurer:

Heather Henderson
617 E Custis Avenue
Alexandria, Virginia 22301
Title: Treasurer
Phone # (703) 706-5303

Designated Agent(s):

Banks or Depositories

PNC Bank
6 N Main Street
Dayton, Ohio 45406

Signed: Heather Henderson
Date Signed: 04/01/2015

(End FEC FORM 1)

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