FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1009219
1. DOC PAC
824 S Milledge Ave Ste 101Athens, GA 30605
NOTE: Address is different than previously reported
Email: paul@pdscompliance.com2. Date: 10/03/2010
3. FEC Committee ID #: C00396721This 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# S2GA00100
J PHILLIP GINGREY, MD
632 NORTH SAINT MARY'S LANE
MARIETTA, Georgia 30064
Affiliated Relationship Code: Leadership PAC Sponsor
Custodian of Records:
Paul Kilgore
824 S Milledge Ave Ste 101
Athens, GA 30605
Title: Treasurer
Phone # (706) 534-7780
Treasurer:
Paul Kilgore
824 S Milledge Ave Ste 101
Athens, Georgia 30605
Title: Treasurer
Phone # (706) 534-7780
Designated Agent(s):
Banks or Depositories
Suntrust Bank
PO Box 4418
Atlanta, Georgia 30302
Signed: Paul Kilgore
Date Signed: 05/27/2015
(End FEC FORM 1)
Date Signed: 05/27/2015