FEC Form 1 for DOC PACForm 1 for DOC PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-495891

1. DOC PAC

264 N. Lumpkin Street, #202
Athens, GA 30601
Email: paul@pdscompliance.com

2. Date: 10/03/2010

3. FEC Committee ID #: C00396721

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

Candidate ID# H2GA11149
J. PHILLIP GINGREY
PO Box U
Marietta, Georgia 30060
Affiliated Relationship Code: Leadership PAC Sponsor

Gingrey Victory Committee
264 N Lumpkin St #202
Athens, Georgia 30601
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Paul Kilgore
264 N. Lumpkin St #202
Athens, GA 30601
Title: Treasurer
Phone # (706) 534-7780

Treasurer:

Paul Kilgore
264 N. Lumpkin St #202
Athens, Georgia 30601
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: 10/03/2010

(End FEC FORM 1)

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