FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-841395
1. Nancy Pelosi Victory Fund
430 South Capitol Street, SEWashington, DC 20003
Email: forte@dccc.org
2. Date: 12/10/2012
3. FEC Committee ID #: C00492421This committee is an independent expenditure-only political committee (Super PAC).
Affiliated Committees/Organizations
NONE
, ____
Custodian of Records:
Kelly C. Ward
430 South Capitol Street, SE
2nd Floor
Washington, DC 20003
Title: Treasurer
Treasurer:
Kelly C. Ward
430 South Capitol Street, SE
2nd Floor
Washington, DC 20003
Title: Treasurer
Designated Agent(s):
Jacqueline Forte-Mackay
430 South Capitol Street, SE
2nd Floor
Washington, DC 20003
Title: Assistant Treasurer
Banks or Depositories
Bank of America, N.A.
730 15th Street, NW
Washington, DC 20005
Signed: Kelly C. Ward
Date Signed: 12/10/2012
(End FEC FORM 1)
Date Signed: 12/10/2012