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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1135948

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1. Wisconsin Forward PAC

    3243 Vinland Street
    Oshkosh, WI 549011125

    NOTE: Address is different than previously reported

    Email: contact@wisconsinforwardpac.org

2. Date: 12/22/2016

3. FEC Committee ID #: C00628891

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:

Brock Doemel
3243 Vinland Street
Oshkosh, WI 54901
Title: Chairman
Phone # (920) 573-6984

Treasurer:

Brock Doemel
3243 Vinland Street
Oshkosh, Wisconsin 54901
Title: Chairman
Phone # (920) 573-6984

Designated Agent(s):

Banks or Depositories

Oshkosh Community Credit Union
250 Pearl Avenue
Oshkosh, Wisconsin 549014834

Signed: Brock Doemel
Date Signed: 12/22/2016
Official Committee URL: www.wisconsinforwardpac.org

NOTE: URL is different than previously reported

(End FEC FORM 1)

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