FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-408711
1. DOC PAC
264 N. Lumpkin Street, #202Athens, GA 30601
NOTE: Address is different than previously reported
2. Date: 12/02/2006
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# H2GA11149
Phillip Gingrey
PO Box U
Marietta, Georgia 30060
Affiliated Relationship Code: Leadership PAC Sponsor
Custodian of Records:
Treasurer:
Paul Kilgore
337 S. Milledge Avenue, Ste. 101
Athens, Georgia 30605
Title: Treasurer
Phone # (706) 534-7780
Designated Agent(s):
Banks or Depositories
National City Bank
PO Box 8043
Royal Oak, Michigan 48068
Signed: Paul Kilgore
Date Signed: 03/20/2009
(End FEC FORM 1)
Date Signed: 03/20/2009