FEC Form 1 for Ports America Group, Inc. DBA Ports America PACForm 1 for Ports America Group, Inc. DBA Ports America PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1300697

1. Ports America Group, Inc. DBA Ports America PAC

20 Galli Drive, Suite A
Novato, CA 949495731
Email: nwarren@wepacca.com;Bhavesh.Patel@portsamerica.com

2. Date: 12/11/2018

3. FEC Committee ID #: C00396812 This committee is a separate segregated fund. Its connected organization is a Corporation
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Ports America Group, Inc.
525 Washington Blvd STE 1660
Jersey City, New Jersey 07310
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Nancy L. Warren
20 Galli Drive, Suite A
Novato, CA 949495731
Title: Custodian of Records
Phone # (415) 884-5500

Treasurer:

Bhavesh Patel
55 N Arizona Pl #400
Chandler, Arizona 85225
Title: Treasurer
Phone # (480) 224-6848

Designated Agent(s):

Nancy L. Warren
20 Galli Drive, Suite A
Novato, California 949495731
Title: Assistant Treasurer
Phone # (415) 884-5500

Thomas A. Gajeski
55 N Arizona #400
Chandler, Arizona 85225
Title: POF
Phone # (480) 496-7003

Banks or Depositories

Bank of San Francisco
575 Market Street, Suite 900
San Francisco, California 94105

Signed: Nancy L Warren
Date Signed: 12/10/2018

(End FEC FORM 1)

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