FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-875684
1. ROLE MODEL LEADERSHIP PAC
499 S CAPITOL STREET NW SUITE 422WASHINGTON, DC 20003
Email: compliance@politicaldg.com
2. Date: 07/02/2013
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
Candidate ID# H0FL17068
FREDERICA S WILSON
19821 NW 2ND AVENUE
BOX 354
MIAMI GARDENS, Florida 33169
Affiliated Relationship Code: Leadership PAC Sponsor
Custodian of Records:
Randall Broz
499 S. Capitol Street SW
Suite 422
Washington, DC 20003
Title: Treasurer
Treasurer:
Randall Broz
499 S. Capitol Street SW
Suite 422
Washington, DC 20003
Title: Treasurer
Designated Agent(s):
Banks or Depositories
Bank of America
201 Pennsylvania Avenue SE
Washington, DC 20003
Signed: Randall Broz
Date Signed: 07/02/2013
Official Committee URL: None
(End FEC FORM 1)
Date Signed: 07/02/2013
Official Committee URL: None