FEC Form 1 for Prosperity PACForm 1 for Prosperity PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-756572

1. Prosperity PAC

1006 Pendleton Street
Alexandria, VA 22314
Email: paul@pdscompliance.com

2. Date: 01/06/2012

3. FEC Committee ID #: C00377689

This 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

Rep. Paul Ryan
1006 Pendleton St
Alexandria, Virginia 22314
Affiliated Relationship Code: Leadership PAC Sponsor

Committee ID# C00494476
PROSPERITY ACTION COMMITTEE
2470 DANIELL'S BRIDGE RD STE. 121
ATHENS, Georgia 30606
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00497388
Republican Leadership Committee 2011
228 S Washington St Ste 115
Alexandria, Virginia 22314
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Treasurer:

Paul Kilgore
2470 Daniells Bridge Rd Ste 121
Athens, Georgia 30606
Title: Treasurer
Phone # (706) 534-7780

Designated Agent(s):

Jeff Livingston
1006 Pendleton St
Alexandria, Virginia 22314
Title: Assistant Treasurer
Phone # (703) 683-6703

Banks or Depositories

Bank of America
600 N. Washington St
Alexandria, Virginia 22314

Suntrust Bank
919 East Main Street
Richmond, Virginia 23219

BB&T
1909 K Street NW
Washington, DC 20006

Burke & Herbert Bank & Trust
100 S Fairfax St
Alexandria, Virginia 22314

Signed: Paul Kilgore
Date Signed: 01/06/2012

(End FEC FORM 1)

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