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FEC Form 1 for America's Natural Gas Alliance Political Action CommitteeForm 1 for America's Natural Gas Alliance Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-846604


1. America's Natural Gas Alliance Political Action Committee

    701 Eighth Street NW
    Suite 800
    Washington, DC 20002
    Email: bkelly@anga.us

2. Date: 12/14/2012

3. FEC Committee ID #: C00485250 This committee is a separate segregated fund. Its connected organization is a Trade Association
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

America's Natural Gas Alliance
701 Eighth Street NW
Suite 800
Washington, DC 20001
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Brian Kelly
816 Eden Court
Alexandria, VA 22308
Title: Treasurer
Phone # (202) 789-2642

Treasurer:

Brian Kelly
816 Eden Court
Alexandria, Virginia 22308
Title: Treasurer
Phone # (202) 789-2642

Designated Agent(s):

Banks or Depositories

SunTrust
Mail Code CS-ACW 2007
8330 Boone Blvd, Suite 700
Vienna, Virginia 22182

Signed: Brian Kelly
Date Signed: 01/10/2013

(End FEC FORM 1)


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