FEC Form 1 for Rogers Group Inc. Political Action CommitteeForm 1 for Rogers Group Inc. Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1174542

1. Rogers Group Inc. Political Action Committee

421 Great Circle Rd
Nashville, TN 37228
Email: angela.wooten@rogersgroupinc.com

2. Date: 07/21/2017

3. FEC Committee ID #: C00277152 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Rogers Group Inc.
P. O. Box 25250
Nashville, Tennessee 372022520
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Angela Wooten
P. O. BOX 25250
NASHVILLE, TN 372025250
Title: Risk Mgmt Supervisor
Phone # (615) 780-5736

Treasurer:

James A. Patton, Jr.
421 Great Circle Road
Nashville, Tennessee 37228
Title: Treasurer
Phone # (615) 780-5736

Designated Agent(s):

Angela Wooten
P.O. Box 25250
Nashville, Tennessee 372025250
Title: Risk Mgmt Supervisor
Phone # (615) 780-5736

Stanley Christopher Byers
1819 Asheville Hwy.
Hendersonville, North Carolina 28791
Title: Assistant Treasurer
Phone # (828) 697-1007

Banks or Depositories

PEOPLES STATE BANK
P. O. BOX 128
ELLETTSVILLE, Indiana 47429

Signed: James A. Patton, Jr.
Date Signed: 07/21/2017
Official Committee URL: www.rogersgroupinc.com

FORM TEXT-1

(End FEC FORM 1)

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