FEC Form 1 for Burson-Marsteller/Young & Rubicam/Prime Policy Group Political Action CommitteeForm 1 for Burson-Marsteller/Young & Rubicam/Prime Policy Group Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-717802

1. Burson-Marsteller/Young & Rubicam/Prime Policy Group Political Action Committee

1110 Vermont Avenue, NW
Suite 1000
Washington, DC 20005
Email: theresa.weber@prime-policy.com

2. Date: 03/16/2011

3. FEC Committee ID #: C00201863 This committee is a separate segregated fund. Its connected organization is a Corporation
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Prime Policy Group
1110 Vermont Avenue, NW
Suite 1000
Washington, DC 20005
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Theresa Weber
1110 Vermont Avenue, NW
Suite 1000
Washington, DC 20005
Title: Director
Phone # (202) 530-4816

Treasurer:

M.B. Oglesby, Jr.
1110 Vermont Avenue, NW
Suite 1000
Washington, DC 20005
Title: Vice Chairman
Phone # (202) 530-4835

Designated Agent(s):

Theresa Weber
1110 Vermont Avenue, NW
Suite 1000
Washington, DC 20005
Title: Director
Phone # (202) 530-4816

Banks or Depositories

EagleBank
7815 Woodmont Avenue
Bethesda, Maryland 20814

Signed: M.B. Oglesby, Jr.
Date Signed: 03/17/2011
Official Committee URL: www.prime-policy.com

(End FEC FORM 1)

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