FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-202212
1. American Success Political Action Committee
1155 21st Street NWSuite 300
Washington, DC 20036
2. Date: 02/15/2006
3. FEC Committee ID #: C00336644This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
Affiliated Committees/Organizations
NONE
, ____
Custodian of Records:
William Canfield
1155 21st Street NW
Suite 300
Washington, DC 20036
Treasurer:
Eric Scott Bright
1155 21st Street NW
Suite 300
Washington, DC 20036
Title: Treasurer
Phone # (202) 659-8201
Designated Agent(s):
Banks or Depositories
Wachovia
PO Box 13327
Roanoke, Virginia 24040
Signed: Eric Scott Bright
Date Signed: 02/15/2006
(End FEC FORM 1)
Date Signed: 02/15/2006