FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-410025
1. PAC For a Change
777 S. Figueroa Street, Ste. 4050Los Angeles, CA 90017
Email: kcollins@kaufmanlegalgroup.com
NOTE: Email address is different than previously reported
2. Date: 03/27/2009
3. FEC Committee ID #: C00342048This 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
Barbara Boxer
777 S. Figueroa Street, Ste. 4050
Los Angeles, California 90017
Affiliated Relationship Code: Leadership PAC Sponsor
Custodian of Records:
Stephen J. Kaufman
777 S. Figueroa St., Ste. 4050
Los Angeles, CA 90017
Title: Assistant Treasurer
Phone # (213) 452-6565
Treasurer:
Sim Farar
914 Westwood Blvd., Ste. 808
Los Angeles, California 90024
Title: Treasurer
Phone # (323) 936-7816
Designated Agent(s):
Stephen J. Kaufman
777 S. Figueroa St., Ste. 4050
Los Angeles, California 90017
Title: Assistant Treasurer
Phone # (213) 452-6565
Banks or Depositories
California Bank and Trust
550 S. Hope Street Ste. 101
Los Angeles, California 90071
Merrill Lynch
1325 Franklin Ave.
Garden City, New Jersey 11530
Signed: Sim Farar
Date Signed: 03/27/2009
(End FEC FORM 1)
Date Signed: 03/27/2009