FEC Form 1 for Forward Together PACForm 1 for Forward Together PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-723219

1. Forward Together PAC

201 North Union Street
Suite 300
Alexandria, VA 223142650
Email: KMBInc01@aol.com

2. Date: 04/14/2011

3. FEC Committee ID #: C00412791

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# S6VA00093
Mark R. Warner
201 North Union Street
Suite 300
Alexandria, Virginia 22314
Affiliated Relationship Code: Leadership PAC Sponsor

Custodian of Records:

Katherine M. Buchanan
20 West Maple Street
Alexandria, VA 22301
Title: Comptroller
Phone # (202) 423-4742

Treasurer:

Gerald S. McGowan
201 North Union Street
Suite 300
Alexandria, Virginia 22314
Title: Treasurer
Phone # (703) 584-8678

Designated Agent(s):

Nicholas Perrins
3117 Hawthorne St NW
Washington, DC 20008
Title: Assistant Treasurer
Phone # (703) 519-7991

Banks or Depositories

Wachovia, NA
330 North Washington Street
Alexandria, Virginia 223142501

JPMorgan Chase Bank
800 Connecticut Ave NW
Washington, DC 200062709

Signed: Gerald S. McGowan
Date Signed: 04/14/2011
Official Committee URL: http://www.forwardtogetherpac.com/

(End FEC FORM 1)

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