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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1046097

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1. Together United for Liberty, Integrity and Prosperity PAC (TULIP PAC)

    5915 Eastman Avenue, Suite 100
    Midland, MI 48640
    Email: kim.holzhauer@ahpplc.com;kellie.bos@ahpplc.com

2. Date: 08/03/2015

3. FEC Committee ID #: C00583526

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# H4MI04126
John Moolenaar
4410 Linden Drive
Midland, Michigan 48640
Affiliated Relationship Code: Leadership PAC Sponsor

Custodian of Records:

Ms Kim Holzhauer
5915 Eastman Avenue, Suite 100
Midland, MI 48640
Title: Treasurer
Phone # (989) 835-7721

Treasurer:

Ms Kim Holzhauer
5915 Eastman Avenue, Suite 100
Midland, Michigan 48640
Title: Treasurer
Phone # (989) 835-7721

Designated Agent(s):

Kellie Bos
5915 Eastman Ave
Suite 100
Midland, Michigan 48640
Title: Assistant Treasurer
Phone # (989) 835-7721

Banks or Depositories

Chemical Bank
333 E. Main Street
Midland, Michigan 48640

Signed: Ms Kim Holzhauer
Date Signed: 01/30/2016

(End FEC FORM 1)

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