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FEC Form 1 for ROLE MODEL LEADERSHIP PACForm 1 for ROLE MODEL LEADERSHIP PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-875684


1. ROLE MODEL LEADERSHIP PAC

    499 S CAPITOL STREET NW SUITE 422
    WASHINGTON, DC 20003
    Email: compliance@politicaldg.com

2. Date: 07/02/2013

3. FEC Committee ID #: C00545970

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# 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)


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