FEC Form 1 for Services Group of America Political Action Committee (SGA PAC)Form 1 for Services Group of America Political Action Committee (SGA PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-749701

1. Services Group of America Political Action Committee (SGA PAC)

16100 N. 71st Street
Suite 501
Scottsdale, AZ 85254

NOTE: Address is different than previously reported

Email: terry_thomason@sgagroup.com

2. Date: 10/18/2011

3. FEC Committee ID #: C00224618 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Services Group of America
PO Box 25109
Scottsdale, Arizona 85255
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Terry L. Thomason
PO Box 25109
Scottsdale, AZ 85255
Title: Treasurer
Phone # (480) 927-4531

Treasurer:

Terry L. Thomason
PO Box 25109
Scottsdale, Arizona 85255
Title: Treasurer
Phone # (480) 927-4531

Designated Agent(s):

Steven J. Twist
13870 N. 98th Pl.
Scottsdale, Arizona 85260
Title: Chairman
Phone # (480) 927-4544

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-749701

1. Services Group of America Political Action Committee (SGA PAC)

NOTE: Address is different than previously reported

2. Date: 10/18/2011

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Terry L. Thomason
Date Signed: 10/18/2011

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-749701

1. Services Group of America Political Action Committee (SGA PAC)

NOTE: Address is different than previously reported

2. Date: 10/18/2011

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Terry L. Thomason Date Signed: 10/18/2011

(End FEC FORM 1)

Signed: Terry L. Thomason
Date Signed: 10/18/2011