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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1303896

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1. Florida Transportation Builders Association Federal PAC

    NOTE:Commmittee Name is different than previously reported

    1007 DeSoto Park Drive
    Suite 200
    Tallahassee, FL 32301
    Email: aprasad@ftba.com;nwatkins@robertwatkins.com

    NOTE: Email address is different than previously reported

2. Date: 01/01/2019

3. FEC Committee ID #: C00361253 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

Florida Transportation Builders Association, Inc.
1007 DeSoto Park Drive
Suite 200
Tallahassee, Florida 32301
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Nancy H. Watkins
610 S. Boulevard
Tampa, FL 33606
Title: Assistant Treasurer
Phone # (813) 254-3369

Treasurer:

Ananth Prasad
1007 DeSoto Park Drive
Suite 200
Tallahassee, Florida 32301
Title: Treasurer
Phone # (850) 942-1404

Designated Agent(s):

Nancy H. Watkins
610 S. Boulevard
Tampa, Florida 33606
Title: Assistant Treasurer
Phone # (813) 254-3369

Banks or Depositories

SunTrust Bank
P. O. Box 3926
Tallahassee, Florida 32315

Signed: Ananth Prasad
Date Signed: 01/10/2019

(End FEC FORM 1)

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