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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-891033

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1. Moving Ohio Forward Action Fund

    75 W Third Ave
    Columbus, OH 43201
    Email: charshman@hcands.com;PDiBiase@americavotes.org

    NOTE: Email address is different than previously reported

2. Date: 10/14/2013

3. FEC Committee ID #: C00528869

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

James Martin
225 E. Broad Street
Columbus, OH 43215

Treasurer:

Pete DiBiase
75 W 3rd Ave
Columbus, Ohio 43201
Title: Treasurer
Phone # (614) 236-3410

Designated Agent(s):

Banks or Depositories

Chase Bank
100 E Broad St
Columbus, Ohio 43215

Signed: Pete DiBiase
Date Signed: 10/14/2013

(End FEC FORM 1)

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