FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1126792
1. Wisconsin Forward PAC
NOTE:Commmittee Name is different than previously reported
3243 Vinland StreetOshkosh, WI 54901
Email: brock.doemel@gmail.com
2. Date: 11/15/2016
3. FEC Committee ID #: C00628891This 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:
Brock Doemel
3243 Vinland Street
Oshkosh, WI 54901
Phone # (920) 573-6984
Treasurer:
Brock Doemel
3243 Vinland Street
Oshkosh, Wisconsin 54901
Phone # (920) 573-6984
Designated Agent(s):
Oliver Long
1209 Carr Pl
Oshkosh, Wisconsin 54901
Title: Deputy Treasurer
Jaime Thor
2440 Sheridan Street
Oshkosh, Wisconsin 54901
Title: Designated Agent
Banks or Depositories
Oshkosh Community Credit Union
250 Pearl Avenue
Oshkosh, Wisconsin 54901
Signed: Brock Doemel
Date Signed: 11/25/2016
(End FEC FORM 1)
Date Signed: 11/25/2016