FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-523722
1. Keystone America PAC
700 13th Street, NWSuite 600
Washington, DC 20005
NOTE: Address is different than previously reported
Email: PLGroup@Perkinscoie.com2. Date: 12/09/2010
3. FEC Committee ID #: C00439992This 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)
Date Signed: 12/09/2010