FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-495891
1. DOC PAC
264 N. Lumpkin Street, #202Athens, GA 30601
Email: paul@pdscompliance.com
2. 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# 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)
Date Signed: 10/03/2010