FEC Form 1 for BEAZER HOMES USA INC POLITICAL ACTION COMMITTEE (BEAZER HOMES PAC)Form 1 for BEAZER HOMES USA INC POLITICAL ACTION COMMITTEE (BEAZER HOMES PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-943517

1. BEAZER HOMES USA INC POLITICAL ACTION COMMITTEE (BEAZER HOMES PAC)

1000 ABERNATHY ROAD SUITE 260
ATLANTA, GA 30328
Email: darrell.harrison@beazer.com;chris.grumboski@beazer.com

NOTE: Email address is different than previously reported

2. Date: 07/30/2014

3. FEC Committee ID #: C00559294 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Beazer Homes USA, Inc.
1000 Abernathy Road Suite 260
Atlanta, Georgia 30328
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Chris Grumboski
1000 Abernathy Road Suite 260
Atlanta, GA 30328
Title: Treasurer
Phone # (770) 829-3761

Treasurer:

Chris Grumboski
1000 Abernathy Road Suite 260
Atlanta, Georgia 30328
Title: Treasurer
Phone # (770) 829-3761

Designated Agent(s):

Darrell Harrison
1000 Abernathy Road Suite 260
Atlanta, Georgia 30328
Title: Assitant Treasurer
Phone # (770) 730-8065

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-943517

1. BEAZER HOMES USA INC POLITICAL ACTION COMMITTEE (BEAZER HOMES PAC)

NOTE: Email address is different than previously reported

2. Date: 07/30/2014

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Chris Grumboski
Date Signed: 07/30/2014

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-943517

1. BEAZER HOMES USA INC POLITICAL ACTION COMMITTEE (BEAZER HOMES PAC)

NOTE: Email address is different than previously reported

2. Date: 07/30/2014

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Chris Grumboski Date Signed: 07/30/2014

(End FEC FORM 1)

Signed: Chris Grumboski
Date Signed: 07/30/2014