FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-981660
1. Great-West Life & Annuity Insurance Company Political Action Committee ('A Great-West Financial Political Action Committ
8515 E. Orchard Road7T2
Greenwood Village, CO 80111
Email: robert.onstad@greatwest.com
NOTE: Email address is different than previously reported
2. Date: 12/26/2014
3. FEC Committee ID #: C00263723 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
Great-West Life & Annuity Insurance Company8515 E. Orchard Road
7T2
Greenwood Village, Colorado 80111
Affiliated Relationship Code: Affiliated Committee
Putnam Investments Inc. Public Affairs
One Post Office Square
Boston, Massachusetts 02109
Empower - a Great-West Political Acti
8515 E. Orchard Rd.
Number 7T2
Greenwood Village, Colorado 80111
Affiliated Relationship Code: Affiliated Committee
Custodian of Records:
Mr. Richard Schultz8525 East Orchard Rd.
2T3
Greenwood Village, CO 80111
Title: V.P. & Counsel
Phone # (303) 737-3000
Treasurer:
Mr Robert Onstad8515 E. Orchard Road
7T2
Greenwood Village, Colorado 80111
Title: Vice-President
Phone # (303) 737-2016
Designated Agent(s):
David Smith8525 East Orchard Road, 2T3
Greenwood Village, Colorado 80111
Title: Assistant Treasurer
Phone # (303) 737-2984
Banks or Depositories
US BankP.O. Box 1800
Saint Paul, Minnesota 551010800