FEC Form 1 for Good Government for America CommitteeForm 1 for Good Government for America Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-743817

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: 09/02/2011

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

Committee ID# C00501353
Fund for Americas Comeback Committee
101 E. Cary Street
Richmond, Virginia 23219
Affiliated Relationship Code: Joint Fundraising Representative

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

Suntrust Bank
PO Box 4418
Atlanta, Georgia 30302

Signed: John Peter Clements
Date Signed: 09/02/2011

(End FEC FORM 1)

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