FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-434041
1. Silver State 21st Century PAC
3069 Conquista Ct.Las Vegas, NV 89121
Email: rlg5@cox.net
2. Date: 03/20/2009
3. FEC Committee ID #: C00364901This 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
Candidate ID# H8NV01071
Shelley Berkley
3069 Conquista Court
Las Vegas, Nevada 89121
Affiliated Relationship Code: Leadership PAC Sponsor
Custodian of Records:
Linda L. Goldberg
3069 Conquista Ct.
Las Vegas, NV 89121
Title: Custidian of Record
Phone # (702) 734-2887
Treasurer:
Martin S. Loeb
3069 Conquista Ct.
Las Vegas, Nevada 89121
Title: Treasurer
Phone # (702) 734-2887
Designated Agent(s):
Linda L. Goldberg
3069 Conquista Ct.
Las Vegas, Nevada 89121
Title: Deputy Treasurer
Phone # (702) 734-2887
Banks or Depositories
Bank of Nevada
P. O. Box 26237
Las Vegas, Nevada 89195
Signed: Martin S Loeb
Date Signed: 10/02/2009
(End FEC FORM 1)
Date Signed: 10/02/2009