FEC Form 1 for Empire PACForm 1 for Empire PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1136249

1. Empire PAC

PO Box 15033
Washington, DC 20003
Email: empirepac@gmail.com

2. Date: 12/29/2016

3. FEC Committee ID #: C00477067

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

Candidate ID# S0NY00410
Kirsten E. Gillibrand
126 C Street NW
2nd Floor
Washington, DC 20001
Affiliated Relationship Code: Leadership PAC Sponsor

Committee ID# C00525600
Off the Sidelines PAC
P.O. Box 78182
Washington, DC 20003
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00629964
Gillibrand Victory Fund
124 Washington Street
Suite 101
Foxboro, Massachusetts 02035
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Keith D. Lowey
124 Washington Street
Suite 101
Foxboro, MA 02035
Title: Treasurer
Phone # (508) 543-1720

Treasurer:

Keith D. Lowey
124 Washington Street
Suite 101
Foxboro, Massachusetts 02035
Title: Treasurer
Phone # (508) 543-1720

Designated Agent(s):

Banks or Depositories

Bank of America
201 Pennsylvania Ave SE
Washington, DC 20003

Bank of America
16 School Street
Foxboro, Massachusetts 02035

Amalgamated Bank
1825 K Street NW
Washington, DC 20006

Signed: Keith D. Lowey
Date Signed: 12/29/2016

(End FEC FORM 1)

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