FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1077127
1. ROLE MODEL LEADERSHIP PAC
413 New Jersey Avenue, SEWashington, DC 20003
NOTE: Address is different than previously reported
Email: ymwdc@yahoo.comNOTE: Email address is different than previously reported
2. Date: 06/13/2016
3. FEC Committee ID #: C00545970This 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
WILSON
19821 NW 2ND AVENUE
BOX 354
MIAMI GARDENS, Florida 33169
Affiliated Relationship Code: Leadership PAC Sponsor
Custodian of Records:
Yuichi Miyamoto
413 New Jersey Avenue, SE
Washington, DC 20003
Title: Treasurer
Phone # (202) 543-5777
Treasurer:
Yuichi Miyamoto
413 New Jersey Avenue, SE
Washington, DC 20003
Title: Treasurer
Phone # (202) 543-5777
Designated Agent(s):
Banks or Depositories
Bank of America
201 Pennsylvania Avenue SE
Washington, DC 20003
Signed: Yuichi Miyamoto
Date Signed: 06/13/2016
Official Committee URL: None
(End FEC FORM 1)
Date Signed: 06/13/2016
Official Committee URL: None