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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-742817

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1. Good Government for America Committee

    101 E. Cary Street
    Richmond, VA 23219

    NOTE: Address is different than previously reported

    Email: GeorgeAllenDotCom@gmail.com

2. Date: 08/22/2011

3. FEC Committee ID #: C00317479

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

George Allen
4510 Cox Road
#200
Richmond, Virginia 23060
Affiliated Relationship Code: Leadership PAC Sponsor

Custodian of Records:

Gary Thomson
4510 Cox Road
#200
Glen Allen, VA 23060
Title: Assistant Treasurer
Phone # (703) 672-0017

Treasurer:

John Peter Clements
4510 Cox Road
#200
Glen Allen, Virginia 23060
Title: Treasurer
Phone # (703) 672-0017

Designated Agent(s):

Gary Thomson
4510 Cox Road
#200
Glen Allen, Virginia 23060
Title: Assistant Treasurer
Phone # (703) 672-0017

Banks or Depositories

Chain Bridge Bank
1445-A Laughlin Avenue
McLean, Virginia 22101

Signed: John Peter Clements
Date Signed: 08/22/2011

(End FEC FORM 1)

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