FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1163164
1. Headwaters Incorporated PAC
10701 S. River Front ParkwaySuite 300
South Jordan, UT 84095
Email: oren.post@boral.com;scowgill@headwaters.com
NOTE: Email address is different than previously reported
2. Date: 05/08/2017
3. FEC Committee ID #: C00388751 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
Headwaters Inc.10653 S River Front Parkway
Suite 300
South Jordan, Utah 84095
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Mr. Oren Post200 Mansell Court East
Suite 310
Roswell, GA 30076
Title: Treasurer
Phone # (949) 585-8238
Treasurer:
Mr. Oren Post200 Mansell Court East
Suite 310
Roswell, Georgia 30076
Title: Treasurer
Phone # (949) 585-8238
Designated Agent(s):
Banks or Depositories
Mountain America Credit Union753 W South Jordan Parkway
South Jordan, Utah 84095