FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-744873
1. HORNBECK OFFSHORE SERVICES INC POLITICAL ACTION COMMITTEE
103 NORTHPARK BLVD SUITE 300COVINGTON, LA 70433
Email: paul.ordogne@hornbeckoffshore.com
NOTE: Email address is different than previously reported
2. Date: 09/15/2011
3. FEC Committee ID #: C00424366 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
Hornbeck Offshore Services, Inc.103 Northpark Blvd Suite 300
Covington, Louisiana 70433
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Paul M. Ordogne103 Northpark Blvd. Suite 300
Covington, LA 70433
Title: assistant treasurer
Phone # (985) 727-6811
Treasurer:
Samuel A. Giberga10 Cherokee Lane
Covington, Louisiana 70433
Title: Treasurer
Phone # (985) 727-2000
Designated Agent(s):
Paul M. Ordogne103 Northpark Blvd. Suite 300
Covington, Louisiana 70433
Title: assistant treasurer
Phone # (985) 727-6811
Banks or Depositories
Capital One Bank313 Carondolet
New Orleans, Louisiana 70130