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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1091239

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1. Association for Emergency Responders & Firefighters PAC, Inc.

    8444 County Rd M
    Fredonia, WI 53021
    Email: theitman@charter.net;piarousmc@gmail.com

2. Date: 07/27/2016

3. FEC Committee ID #: C00622472

This 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:

Robert Piaro
8444 County Rd M
Fredonia, WI 53021
Title: Assistant Treasurer
Phone # (262) 692-2157

Treasurer:

Thomas Heitman
2123 Newark Drive East
West Bend, Wisconsin 53090
Title: Treasurer
Phone # (262) 334-9062

Designated Agent(s):

Robert Piaro
8444 County Rd M
Fredonia, Wisconsin 53021
Title: Assistant Treasurer
Phone # (262) 692-2157

Banks or Depositories

State Bank of Newburg
300 Congress Dr
PO Box 20
Newburg, Wisconsin 53060

Signed: Thomas Heitman
Date Signed: 07/27/2016

(End FEC FORM 1)

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