FEC Form 1 for IMPACT COMMITTEEForm 1 for IMPACT COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1056929

1. IMPACT COMMITTEE

617 E CUSTIS AVENUE
ALEXANDRIA, VA 22301
Email: macjo333@verizon.net

2. Date: 03/20/2016

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

TURNER VICTORY FUND
824 S MILLEDGE AVE, STE 101
ATHENS, Georgia 30605
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

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

Treasurer:

Heather Henderson Barlow
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

SUNTRUST BANK
P.O. BOX 4418
ATLANTA, Georgia 30302

Signed: Heather Henderson Barlow
Date Signed: 03/20/2016

(End FEC FORM 1)

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