FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1693038
1. Golden State Political Action Committee
12501 Imperial Hwy.Ste. 200
Norwalk, CA 90650
NOTE: Address is different than previously reported
Email: dlgould@gouldorellana.com;iorellana@gouldorellana.comNOTE: Email address is different than previously reported
2. Date: 03/14/2023
3. FEC Committee ID #: C00145342This 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:
David Gould
12501 Imperial Hwy. Ste. 200
Norwalk, CA 90650
Title: Treasurer
Phone # (213) 489-4792
Treasurer:
David Gould
12501 Imperial Hwy. Ste. 200
Norwalk, California 90650
Title: Treasurer
Phone # (213) 489-4792
Designated Agent(s):
Nadia Modesto (Asst. Treasurer)
12501 Imperial Hwy. Ste. 200
Norwalk, California 90650
Title: Assistant Treasurer
Phone # (213) 489-4792
Ingrid Orellana(Asst. Treasurer)
12501 Imperial Hwy. Ste. 200
Norwalk, California 90650
Title: Assistant Treasurer
Phone # (213) 489-4792
Banks or Depositories
City National Bank
555 S. Flower St.
Los Angeles, California 90071
Signed: David Gould
Date Signed: 03/14/2023
(End FEC FORM 1)
Date Signed: 03/14/2023