FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-748097
1. GTECH Corporation Political Action Committee
10 Memorial Blvd.Providence, RI 02903
Email: katie.carlson@gtech.com
NOTE: Email address is different than previously reported
2. Date: 10/14/2011
3. FEC Committee ID #: C00473025 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
GTECH Corporation10 Memorial Boulevard
Providence, Rhode Island 02903
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Michael Melloc/o PASS
1950 Roland Clarke Pl., Ste 300
Reston, VA 20191
Title: Custodian
Phone # (401) 392-1000
Treasurer:
Michael Mello10 Memorial Blvd.
Providence, Rhode Island 02903
Title: Treasurer
Phone # (401) 392-1000
Designated Agent(s):
Katie Carlson10 Memorial Blvd.
Providence, Rhode Island 02903
Title: Assistant Treasurer
Phone # (401) 392-1000
Banks or Depositories
Burke & Herbert100 South Fairfax Street
Alexandria, Virginia 22314