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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-962137

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1. Great Lakes Bay Regional Alliance Federal PAC

    5915 Eastman Ave
    Suite 100
    Midland, MI 48640
    Email: mark.freed@ahpplc.com;kim.holzhauer@ahpplc.com

2. Date: 10/20/2014

3. FEC Committee ID #: C00566877

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

Affiliated Committees/Organizations

NONE
, ____
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Kim D Holzhauer
5915 Eastman Ave.
Suite 100
Midland, MI 48640
Title: Desig. Recordkeeper
Phone # (989) 835-7721

Treasurer:

Mark R. Freed CPA, CSEP
5915 Eastman Avenue
Suite 100
Midland, Michigan 48640
Title: Treasurer
Phone # (989) 835-7721

Designated Agent(s):

Mark R. Freed CPA, CSEP
5915 Eastman Avenue
Suite 100
Midland, Michigan 48640

Banks or Depositories

Chemical Bank
333 East Main Street
Midland, Michigan 48640

Signed: Mark R. Freed CPA, CSEP
Date Signed: 10/20/2014

(End FEC FORM 1)

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