FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1497774
1. Take Back The West PAC
7955 W Badura Ave Apt 142Las Vegas, NV 98113
Email: info@takebackthewest.com;rob@takebackthewest.com
NOTE: Email address is different than previously reported
2. Date: 11/14/2019
3. FEC Committee ID #: C00727230This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
Affiliated Committees/Organizations
NONE
, ____
Custodian of Records:
Rob Burgess
7975 W Badura Ave Suite 1000
Las Vegas, NV 98113
Title: Executive Director
Phone # (317) 371-4743
Treasurer:
Rob Burgess
7975 W Badura Ave Suite 1000
Las Vegas, Nevada 98113
Title: Executive Director
Phone # (317) 371-4743
Designated Agent(s):
Banks or Depositories
Nevada State Bank
PO Box 990
Las Vegas, Nevada 89125
Signed: Rob Burgess
Date Signed: 02/01/2021
Official Committee URL: takebackthewest.com
(End FEC FORM 1)
Date Signed: 02/01/2021
Official Committee URL: takebackthewest.com