FEC Form 1 for CoreCivic, Inc. Political Action Committee (CoreCivic PAC)Form 1 for CoreCivic, Inc. Political Action Committee (CoreCivic PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1136525

1. CoreCivic, Inc. Political Action Committee (CoreCivic PAC)

NOTE:Commmittee Name is different than previously reported

10 Burton Hills Boulevard
Nashville, TN 37215
Email: Cole.Carter@corecivic.com;ann.parker@corecivic.com

NOTE: Email address is different than previously reported

2. Date: 01/01/2017

3. FEC Committee ID #: C00366468 This committee is a separate segregated fund. Its connected organization is a Corporation
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

CoreCivic, Inc.
10 Burton Hills Blvd.
Nashville, Tennessee 372156105
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Melissa Laurenza
1333 New Hampshire Ave. NW
Washington, DC 200361500
Title: Custodian of Records
Phone # (202) 887-4251

Treasurer:

Cole G. Carter
10 Burton Hills Blvd.
Nashville, Tennessee 372156105
Title: Treasurer
Phone # (615) 263-3113

Designated Agent(s):

Ann Parker
10 Burton Hills Blvd.
Nashville, Tennessee 372156105
Title: Designated Agent
Phone # (615) 263-3133

Banks or Depositories

Wells Fargo
PO Box 63020
San Francisco, California 94163

Signed: Cole G. Carter
Date Signed: 01/03/2017
Official Committee URL: http://www.corecivic.com/

NOTE: URL is different than previously reported

FORM TEXT-1

(End FEC FORM 1)

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