FEC Form 1 for Beehive Victory Fund LLCForm 1 for Beehive Victory Fund LLC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-790710

1. Beehive Victory Fund LLC

315 Westfield Circle
Alpine, UT 84004
Email: campaignscc@gmail.com

2. Date: 06/18/2012

3. FEC Committee ID #: C00520999

This committee is an independent expenditure-only political committee (Super PAC).

Affiliated Committees/Organizations

Friends of Jason Chaffetz
315 Westfield Circle
Alpine, Utah 84004
Affiliated Relationship Code: Affiliated Committee

BudgetHawks.com
315 Westfield Circle
Alpine, Utah 84004
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00075820
National Republican Congressional Comm
320 First Street SE
Washington, DC 20003
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Corie Chan
PO Box 901483
Sandy, UT 84090
Title: Treasurer
Phone # (801) 842-1445

Treasurer:

Corie Chan
PO Box 901483
Sandy, Utah 84090
Title: Treasurer
Phone # (801) 842-1445

Designated Agent(s):

Banks or Depositories

Wells Fargo Bank
207 E. Main Street
American Fork, Utah 84003

Signed: Corie Chan
Date Signed: 06/18/2012

(End FEC FORM 1)

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