FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1515223
1. Mother on a Mission (Mom PAC)
885 Woodstock RdSuite 430-528
Roswell, GA 30075
Email: ashton@bluewavepolitics.com;compliance2@bluewavepolitics.com
NOTE: Email address is different than previously reported
2. Date: 05/05/2021
3. FEC Committee ID #: C00691352This 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# H8GA06393
Lucia K McBath
885 Woodstock Road
Suite 430-528
Roswell, Georgia 30075
Affiliated Relationship Code: Leadership PAC Sponsor
Custodian of Records:
Lora Haggard
PO Box 699
Ringgold, GA 30736
Title: Asst. Treasurer
Phone # (423) 443-3308
Treasurer:
Ashton C Narzisi
885 Woodstock Rd.
Ste 430-528
Roswell, Georgia 30075
Title: Treasurer
Phone # (330) 714-8227
Designated Agent(s):
Lora Haggard
PO Box 699
Ringgold, Georgia 30736
Title: Asst. Treasurer
Phone # (423) 443-3308
Banks or Depositories
SunTrust
1120 Woodstock Rd
Roswell, Georgia 30075
Signed: Ashton C Narzisi
Date Signed: 05/05/2021
(End FEC FORM 1)
Date Signed: 05/05/2021