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    FEC Nancy Pelosi Victory Fund Statement of Organization 2017

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    Beverly Tran
    This document is a Statement of Organization form filed with the FEC by the Nancy Pelosi Victory Fund on February 1, 2017. It identifies the committee as a joint fundraising representative that collects contributions for two or more political committees including at least one authorized committee of a federal candidate. It provides contact information for the treasurer and custodian of records.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    FEC Nancy Pelosi Victory Fund Statement of Organization 2017

    Uploaded by

    Beverly Tran
    470 views4 pages
    This document is a Statement of Organization form filed with the FEC by the Nancy Pelosi Victory Fund on February 1, 2017. It identifies the committee as a joint fundraising representative that collects contributions for two or more political committees including at least one authorized committee of a federal candidate. It provides contact information for the treasurer and custodian of records.

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    FEC Nancy Pelosi Victory Fund Statement of Organization 2017 with no webpage listed.

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    This document is a Statement of Organization form filed with the FEC by the Nancy Pelosi Victory Fund on February 1, 2017. It identifies the committee as a joint fundraising representative that collects contributions for two or more political committees including at least one authorized committee of a federal candidate. It provides contact information for the treasurer and custodian of records.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    470 views4 pages

    FEC Nancy Pelosi Victory Fund Statement of Organization 2017

    Uploaded by

    Beverly Tran
    This document is a Statement of Organization form filed with the FEC by the Nancy Pelosi Victory Fund on February 1, 2017. It identifies the committee as a joint fundraising representative that collects contributions for two or more political committees including at least one authorized committee of a federal candidate. It provides contact information for the treasurer and custodian of records.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    02/01/2017 12 : 39

    Image# 201702019042403630
    PAGE 1 / 4

    STATEMENT OF
    FEC
    FORM 1 ORGANIZATION
    Office Use Only

    1. NAME OF (Check if name Example: If typing, type


    COMMITTEE (in full) over the lines.
    12FE4M5
    is changed)

    Nancy Pelosi Victory Fund

    430 S Capitol St SE
    ADDRESS (number and street)
    (Check if address 2nd Floor

    is changed)
    Washington DC 20003

    CITY STATE ZIP CODE


    COMMITTEE'S E-MAIL ADDRESS

    (Check if address [email protected]



    is changed)

    Optional Second E-Mail Address


    [email protected]

    COMMITTEE'S WEB PAGE ADDRESS (URL)


    (Check if address

    is changed)


    M M / D D / Y Y Y Y

    2. DATE 02 01 2017

    3. FEC IDENTIFICATION NUMBER C C00492421


    4. IS THIS STATEMENT NEW (N) OR AMENDED (A)

    I certify that I have examined this Statement and to the best of my knowledge and belief it is true, correct and complete.

    Type or Print Name of Treasurer Sena, Daniel, , ,


    M M / D D / Y Y Y Y
    Sena, Daniel, , ,
    Signature of Treasurer [Electronically Filed] Date 02 01 2017

    NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Statement to the penalties of 2 U.S.C. 437g.
    ANY CHANGE IN INFORMATION SHOULD BE REPORTED WITHIN 10 DAYS.

    Office For further information contact:


    Federal Election Commission FEC FORM 1
    Use (Revised 06/2012)
    Toll Free 800-424-9530
    Only Local 202-694-1100
    Image# 201702019042403631

    FEC Form 1 (Revised 02/2009) Page 2

    5. TYPE OF COMMITTEE
    Candidate Committee:
    (a) This committee is a principal campaign committee. (Complete the candidate information below.)

    (b) This committee is an authorized committee, and is NOT a principal campaign committee. (Complete the candidate
    information below.)
    Name of
    Candidate

    DC
    Candidate Office State
    Party Affiliation Sought: House Senate President
    District

    (c) This committee supports/opposes only one candidate, and is NOT an authorized committee.

    Name of
    Candidate

    Party Committee:
    (National, State (Democratic,
    (d) This committee is a or subordinate) committee of the Republican, etc.) Par ty.

    Political Action Committee (PAC):


    (e) This committee is a separate segregated fund. (Identify connected organization on line 6.) Its connected organization is a:

    Cor poration Cor poration w/o Capital Stock Labor Organization

    Membership Organization Trade Association Cooperative

    In addition, this committee is a Lobbyist/Registrant PAC.

    (f) This committee supports/opposes more than one Federal candidate, and is NOT a separate segregated fund or party
    committee. (i.e., nonconnected committee)

    In addition, this committee is a Lobbyist/Registrant PAC.

    In addition, this committee is a Leadership PAC. (Identify sponsor on line 6.)

    Joint Fundraising Representative:


    (g) This committee collects contributions, pays fundraising expenses and disburses net proceeds for two or more political
    committees/organizations, at least one of which is an authorized committee of a federal candidate.

    (h) This committee collects contributions, pays fundraising expenses and disburses net proceeds for two or more political
    committees/organizations, none of which is an authorized committee of a federal candidate.

    Committees Participating in Joint Fundraiser


    Nancy Pelosi for Congress
    1. FEC ID number C C00213512

    PAC to the Future


    2. FEC ID number C C00344234

    DCCC
    3. FEC ID number C C00000935

    4. FEC ID number C
    Image# 201702019042403632

    FEC Form 1 (Revised 02/2009) Page 3


    Write or Type Committee Name

    Nancy Pelosi Victory Fund


    6. Name of Any Connected Organization, Affiliated Committee, Joint Fundraising Representative, or Leadership PAC Sponsor

    NONE

    Mailing Address

    CITY STATE ZIP CODE

    Relationship: Connected Organization Affiliated Committee Joint Fundraising Representative Leadership PAC Sponsor

    7. Custodian of Records: Identify by name, address (phone number -- optional) and position of the person in possession of committee
    books and records.

    Sena, Daniel, , ,
    Full Name
    430 South Capitol Street, SE
    Mailing Address
    2nd Floor

    Washington DC 20003

    Title or Position CITY STATE ZIP CODE

    Treasurer 202 863 1500


    Telephone number

    8. Treasurer: List the name and address (phone number -- optional) of the treasurer of the committee; and the name and address of
    any designated agent (e.g., assistant treasurer).

    Full Name Sena, Daniel, , ,


    of Treasurer
    430 South Capitol Street, SE
    Mailing Address
    2nd Floor

    Washington DC 20003

    CITY STATE ZIP CODE


    Title or Position
    Treasurer 202 863 1500
    Telephone number
    Image# 201702019042403633

    FEC Form 1 (Revised 02/2009) Page 4

    Full Name of
    Designated Forte-Mackay, Jacqueline, , ,
    Agent
    430 South Capitol Street, SE
    Mailing Address
    2nd Floor

    Washington DC 20003

    CITY STATE ZIP CODE


    Title or Position
    Assistant Treasurer 202 485 3501
    Telephone number

    9. Banks or Other Depositories: List all banks or other depositories in which the committee deposits funds, holds accounts, rents
    safety deposit boxes or maintains funds.
    Name of Bank, Depository, etc.

    Bank of America, N.A.


    730 15th Street, NW
    Mailing Address

    Washington DC 20005

    CITY STATE ZIP CODE


    Name of Bank, Depository, etc.

    Mailing Address

    CITY STATE ZIP CODE

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