FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-898454
1. GOOD GOVERNMENT FOR AMERICA COMMITTEE
717 Princess StreetAlexandria, VA 22314
NOTE: Address is different than previously reported
Email: tnussbaum@georgeallen.com;timothy.nussbaum@gmail.comNOTE: Email address is different than previously reported
2. Date: 12/20/2013
3. FEC Committee ID #: C00317479This 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
NONE
, ____
Custodian of Records:
Mr. Timothy R Nussbaum
717 Princess Street
Alexandria, VA 22314
Title: Deputy Treasurer
Phone # (571) 970-4636
Treasurer:
John Peter Clements
717 Princess Street
Alexandria, Virginia 22314
Title: Treasurer
Phone # (571) 970-4636
Designated Agent(s):
Banks or Depositories
Chain Bridge Bank
1445 Laughlin Ave
McLean, Virginia 22101
Signed: John Peter Clements
Date Signed: 12/20/2013
(End FEC FORM 1)
Date Signed: 12/20/2013