FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-447087
1. SYNERGY PAC
6849 Old Dominion DriveSuite 222
McLean, VA 22101
Email: None
2. Date: 01/26/2010
3. FEC Committee ID #: C00409623This 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)
Date Signed: 01/26/2010
Official Committee URL: None