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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1165501

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1. Ford Minority Dealers Association Political Action Committee

    2014 Lakewood Drive
    Fort Wayne, IN 46819
    Email: avfleming@aol.com;deedee0914@aol.com

2. Date: 05/26/2017

3. FEC Committee ID #: C00647552 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

Ford Minority Dealers Association
2014 Lakewood Dr
Fort Wayne, Indiana 46819
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Dr. Angelo V. Fleming
PO Box 760386
Southfield, MI 48076

Treasurer:

Dr. Angelo V. Fleming
PO Box 760386
Southfield, Michigan 48076

Designated Agent(s):

Denethria Suber
PO Box 760368
Southfield, Michigan 48076

Banks or Depositories

First Independence Bank
7020 W Seven Mile Rd.
Southfield, Michigan 48221

Signed: Dr. Angelo V. Fleming
Date Signed: 06/12/2017

(End FEC FORM 1)

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