FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1017940
1. Reform America Fund
N4298 12 Corners RoadBlack Creek, WI 54106
Email: lorri.pickens@reagan.com
2. Date: 07/24/2015
3. FEC Committee ID #: C00581934This 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:
Lorri Pickens
N4298 12 Corners Road
Black Creek, WI 54106
Title: Treasurer
Phone # (920) 358-7980
Treasurer:
Lorri Pickens
N4298 12 Corners Road
Black Creek, Wisconsin 54106
Title: Treasurer
Phone # (920) 358-7980
Designated Agent(s):
Lorri Pickens
N4298 12 Corners Road
Black Creek, Wisconsin 54106
Title: Treasurer
Phone # (920) 358-7980
Banks or Depositories
BMO Harris
402 E. Wisconsin Ave.
Appleton, Wisconsin 54911
Signed: Lorri Pickens
Date Signed: 07/24/2015
FORM TEXT-1(End FEC FORM 1)
Date Signed: 07/24/2015
FORM TEXT-1