FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-863450
1. IMPACT COMMITTEE
100 LUNA PARK DRIVESTE. 156
ALEXANDRIA, VA 22305
NOTE: Address is different than previously reported
Email: macjo333@verizon.netNOTE: Email address is different than previously reported
2. Date: 03/28/2013
3. FEC Committee ID #: C00525238This 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
MICHAEL R REP TURNER
5815 STONE LAKE DRIVE
DAYTON, Ohio 45429
Affiliated Relationship Code: Leadership PAC Sponsor
Custodian of Records:
Anne Jagielski
1101 Fox Chase Court
Centerville, OH 45459
Title: Assistant Treasurer
Phone # (937) 232-5698
Treasurer:
Diana Sue Vaughn
120 West 2nd Street
Suite 1510
Dayton, Ohio 45402
Title: Treasurer
Phone # (937) 222-7749
Designated Agent(s):
Anne Jagielski
1101 Fox Chase Court
Centerville, Ohio 45459
Title: Assistant Treasurer
Phone # (937) 232-5698
Banks or Depositories
PNC Bank
6 N Main Street
Dayton, Ohio 45406
Signed: Diana Sue Vaughn
Date Signed: 03/28/2013
(End FEC FORM 1)
Date Signed: 03/28/2013