Fec Form 1 Statement Of Organization Page 3
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FEC Form 1 (Revised 02/2009)
Page 3
Write or Type Committee Name
HALEYS PAC
6.
Name of Any Connected Organization, Affiliated Committee, Joint Fundraising Representative, or Leadership PAC Sponsor
NONE
Mailing Address
.
.
.
CITY
STATE
ZIP CODE
Relationship:
Connected Organization
Affiliated Committee
Joint Fundraising Representative
Leadership PAC Sponsor
Identify by name, address, (phone number -- optional), and position of the person in
7.
Custodian of Records:
possession of Committee books and records.
Heather Larrison
Full Name
P.O. Box 1186
Mailing Address
_
Jackson
MS
39215
.
.
.
.
CITY
STATE
ZIP CODE
Title or Position
_
_
Secretary-Custodian
Telephone number
List the name and address (phone number -- optional) of the treasurer of the committee; and the
Treasurer:
8.
name and address of any designated agent (e.g., assistant treasurer).
Full Name
Henry Barbour
of Treasurer
P.O. Box 1186
Mailing Address
_
Jackson
MS
39215
.
.
.
.
Title or Position
CITY
STATE
ZIP CODE
Treasurer
_
_
Telephone number
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