FEC Form 1 for Republic Svcs. Inc. Employees for Better Govt. PACForm 1 for Republic Svcs. Inc. Employees for Better Govt. PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1054257

1. Republic Svcs. Inc. Employees for Better Govt. PAC

18500 North Allied Way
Phoenix, AZ 85054
Email: fecinfo@pass1.com

2. Date: 03/08/2016

3. FEC Committee ID #: C00428391 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Republic Services Inc. (fka Allied Waste NA)
18500 North Allied Way
Phoenix, Arizona 85054
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Dan Jameson
18500 North Allied Way
Phoenix, AZ 85054
Title: Custodian of Records
Phone # (480) 627-2700

Treasurer:

Russ Knocke
18500 N Allied Way
Phoenix, Arizona 85054
Title: Treasurer
Phone # (480) 627-2700

Designated Agent(s):

Shawn Brady
1220 Commerce St. SW
Conover, North Carolina 28613
Title: Assistant Treasurer
Phone # (803) 396-3432

David M Call
18500 North Allied Way
Phoenix, Arizona 85054
Title: Secretary
Phone # (480) 627-2700

Banks or Depositories

Compass Bank
15685 N Greenway-Hayden Loop S
Scottsdale, Arizona 85260

Signed: Russ Knocke
Date Signed: 03/08/2016

FORM TEXT-1

(End FEC FORM 1)

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