FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-985495
1. Empower - A Great-West Life & Annuity Insurance Company Political Action Committee ('Empower PAC')
8515 E Orchard RoadNumber 7T2
Greenwood Village, CO 80111
Email: Empower_PAC@greatwest.com;kcrowley@skadden.com
2. Date: 01/24/2015
3. FEC Committee ID #: C00571125 This committee is a separate segregated fund. Its connected organization is a CorporationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
Great - West Life & Annuity Insurance Company8515 E Orchard Road
Number 7T2
Greenwood Village, Colorado 80111
Affiliated Relationship Code: Connected Organization
Committee ID# C00289595
PUTNAM INVESTMENTS, LLC POLITICAL ACTI
One Post Office Square
Boston, Massachusetts 02109
Affiliated Relationship Code: Affiliated Committee
Great-West Life & Annuity Insurace Com
8515 E. Orchard Raod
7T2
Greenwood Village, Colorado 80111
Affiliated Relationship Code: Affiliated Committee
Custodian of Records:
Robert Onstad8515 E Orchard Road
Number 7T2
Geenwood Village, CO 80111
Title: Treasurer
Phone # (303) 737-2016
Treasurer:
Robert Onstad8515 E Orchard Road
Number 7T2
Geenwood Village, Colorado 80111
Title: Treasurer
Phone # (303) 737-2016
Designated Agent(s):
Robert Onstad8515 E Orchard Road
Number 7T2
Geenwood Village, Colorado 80111
Title: Treasurer
Phone # (303) 737-2016
Banks or Depositories
U.S. Bank8505 E. Orchard Road
1T1
Greenwood Village, Colorado 80111