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FEC Form 1 for Keystone America PACForm 1 for Keystone America PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-523722


1. Keystone America PAC

    700 13th Street, NW
    Suite 600
    Washington, DC 20005

    NOTE: Address is different than previously reported

    Email: PLGroup@Perkinscoie.com

2. Date: 12/09/2010

3. FEC Committee ID #: C00439992

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

Committee ID# C00470021
Keystone Victory Fund
700 13th Street, NW
Suite 600
Washington, DC 20005
Affiliated Relationship Code: Joint Fundraising Representative

Robert P. Casey, Jr.
700 13th Street, NW
Sutie 600
Washington, DC 20005
Affiliated Relationship Code: Leadership PAC Sponsor

Custodian of Records:

Douglas A. Campbell
700 13th Street, NW
Suite 600
Washington, DC 20005
Title: Treasurer

Treasurer:

Douglas A. Campbell
700 13th Street, NW
Suite 600
Washington, DC 20005
Title: Treasurer

Designated Agent(s):

Banks or Depositories

Citibank F.S.B.
1400 G Street, NW
Washington, DC 20005

TD Bank
605 14th Street, N.W.
Washington, DC 20005

Signed: Douglas A. Campbell
Date Signed: 12/09/2010

(End FEC FORM 1)


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