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FEC Form 1 for SYNERGY PACForm 1 for SYNERGY PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-447087


1. SYNERGY PAC

    6849 Old Dominion Drive
    Suite 222
    McLean, VA 22101
    Email: None

2. Date: 01/26/2010

3. FEC Committee ID #: C00409623

This 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

John B. Larson
1887 Old Main Street
East Hartford, Connecticut 06106
Affiliated Relationship Code: Leadership PAC Sponsor

Jared Polis Victory Fund
P.O. Box 1174
Springfield, Virginia 22151
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Leslie J. Kerman
6849 Old Dominion Drive
Suite 222
McLean, VA 22101
Title: Assistant Treasurer
Phone # (571) 633-9741

Treasurer:

Patricia Joy Christiana
114 Steep Hollow Lane
Manchester, Connecticut 06040
Title: Treasurer
Phone # (860) 645-9582

Designated Agent(s):

Leslie J. Kerman
6849 Old Dominion Drive
Suite 222
McLean, Virginia 22101
Title: Assistant Treasurer
Phone # (571) 633-9741

Banks or Depositories

PNC Bank
6805 Old Dominion Drive
McLean, Virginia 22101

Bank of America
730 15th Street, N.W.
Washington, DC 20005

Signed: Leslie J. Kerman
Date Signed: 01/26/2010
Official Committee URL: None

(End FEC FORM 1)


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