Image# 10932102084 FE FORM 1 STATEMENT OF ORGANIZATION (See instructions) Office use only 12/10/2010 12 : 30 1 NAME OF (heck if name Example: If typying, type OMMITTEE (in full) is changed) over the lines 12FE4M5 America's New Majority X ADDRESS (number and street) (heck if address is changed) 228 S Washington Street Suite 115 Alexandria VA 22314 ITY STATE ZIP ODE OMMITTEE'S E-MAIL ADDRESS (Please provide only one e-mail address) (heck if address kdavis@hdafeccom X is changed) OMMITTEE'S WEB PAGE ADDRESS (URL) (heck if address is changed) 2 M M / D D / DATE 1 2 1 0 2 0 1 0 D Y Y Y Y 3 FE IDENTIFIATION NUMBER 00491332 4 IS THIS STATEMENT X 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 Keith A Davis Signature of Treasurer Electronically Filed by M M / D D / Y Y Y Y Keith A Davis Date 1 2 1 0 2 0 1 0 NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Statement to the penalties of 2 US 437g ANY HANGE IN INFORMATION SHOULD BE REPORTED WITHIN 10 DAYS Office Use Only For further information contact: Federal Election ommission Toll Free 800-424-9530 (Revised 02/2009) Local 202-694-1100 FE FORM 1
Image# 10932102085 FE Form 1 (Revised 02/2009) Page 2 5 TYPE OF OMMITTEE (heck One) andidate ommittee: (a) This committee is a principal campaign committee (omplete the candidate information below) (b) This committee is an authorized committee, and is NOT a principal campaign committee (omplete the candidate information below) Name of andidate andidate Party Affiliation Office Sought: House Senate President State District (c) This committee supports/opposes only one candidate, and is NOT an authorized committee Name of andidate Party ommittee: (National, State (Democratic, (d) This committee is a (or subordinate) committee of the Republican,etc) Party Political Action ommittee (PA): (e) This committee is a separate segregated fund (Identify connected organization on line 6) Its connected organization is a: orporation Membership Organization orporation w/o apital Stock Trade Association Labor Organization ooperative (f) In addition, this committee is a Lobbyist/Registrant PA This committee supports/opposes more than one Federal candidate, and is NOT a separate segregated fund or party committee (ie, nonconnected committee) Joint Fundraising Representative: In addition, this committee is a Lobbyist/Registrant PA In addition, this committee is a Leadership PA (Identify sponsor on line 6) (g) (h) X 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 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 ommittees Participating in Joint Fundraiser 1 DENHAM FOR ONGRESS FE ID number FRIENDS OF SOTT DESJARLAIS 2 FE ID number 00473272 00464073 3 DOLD FOR ONGRESS FE ID number 00465971 4 RENEE ELLMERS FOR ONGRESS OMMITTEE FE ID number 00471896
Image# 10932102086 FE Form 1 (Revised 02/2009) Page 3 Write or Type ommittee Name America's New Majority 6 Name of Any onnected Organization, Affiliated ommittee, Joint Fundraising Representative, or Leadership PA Sponsor NONE ITY STATE ZIP ODE onnected Organization Affiliated ommittee Joint Fundraising Representative Leadership PA Sponsor 7 ustodian of Records: Identify by name, address, (phone number -- optional), and position of the person in possession of ommittee books and records Keith A Davis 228 S Washington Street Suite 115 Alexandria VA 22314 Title or Position ITY STATE ZIP ODE Treasurer 703 549 7705 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 (eg, assistant treasurer) of Treasurer Keith A Davis 228 S Washington Street Suite 115 Alexandria VA 22314 Title or Position ITY STATE ZIP ODE Treasurer 703 549 7705
Image# 10932102087 FE Form 1 (Revised 02/2009) Page 4 of Designated Agent Lisa R Lisker 228 S Washington Street Suite 115 Alexandria VA 22314 Title or Position ITY STATE ZIP ODE Assistant Treasurer 703 549 7705 9 safety deposit boxes or maintains funds BB&T 1909 K Street NW Washington D 20006 ITY STATE ZIP ODE ITY STATE ZIP ODE
Image# 10932102088 FE Form 1 (Revised 02/2009) Page 5 safety deposit boxes or maintains funds ITY STATE ZIP ODE Name of Any onnected Organization, Affiliated ommittee, Joint Fundraising Representative, or Leadership PA Sponsor ITY STATE ZIP ODE onnected Organization Affiliated ommittee Joint Fundraising Representative Leadership PA Sponsor Title or Position ITY STATE ZIP ODE LANDRY FOR LOUISIANA FE ID number 00472712
Image# 10932102089 FE Form 1 (Revised 02/2009) Page 6 safety deposit boxes or maintains funds ITY STATE ZIP ODE Name of Any onnected Organization, Affiliated ommittee, Joint Fundraising Representative, or Leadership PA Sponsor ITY STATE ZIP ODE onnected Organization Affiliated ommittee Joint Fundraising Representative Leadership PA Sponsor Title or Position ITY STATE ZIP ODE MARINO FOR ONGRESS FE ID number 00475145
Image# 10932102090 FE Form 1 (Revised 02/2009) Page 7 safety deposit boxes or maintains funds ITY STATE ZIP ODE Name of Any onnected Organization, Affiliated ommittee, Joint Fundraising Representative, or Leadership PA Sponsor ITY STATE ZIP ODE onnected Organization Affiliated ommittee Joint Fundraising Representative Leadership PA Sponsor Title or Position ITY STATE ZIP ODE TOM REED FOR ONGRESS FE ID number 00464032
Image# 10932102091 FE Form 1 (Revised 02/2009) Page 8 safety deposit boxes or maintains funds ITY STATE ZIP ODE Name of Any onnected Organization, Affiliated ommittee, Joint Fundraising Representative, or Leadership PA Sponsor ITY STATE ZIP ODE onnected Organization Affiliated ommittee Joint Fundraising Representative Leadership PA Sponsor Title or Position ITY STATE ZIP ODE DAVID RIVERA FOR ONGRESS FE ID number 00477356
Image# 10932102092 FE Form 1 (Revised 02/2009) Page 9 safety deposit boxes or maintains funds ITY STATE ZIP ODE Name of Any onnected Organization, Affiliated ommittee, Joint Fundraising Representative, or Leadership PA Sponsor ITY STATE ZIP ODE onnected Organization Affiliated ommittee Joint Fundraising Representative Leadership PA Sponsor Title or Position ITY STATE ZIP ODE JON RUNYAN FOR ONGRESS, IN FE ID number 00477661
Image# 10932102093 FE Form 1 (Revised 02/2009) Page 10 safety deposit boxes or maintains funds ITY STATE ZIP ODE Name of Any onnected Organization, Affiliated ommittee, Joint Fundraising Representative, or Leadership PA Sponsor ITY STATE ZIP ODE onnected Organization Affiliated ommittee Joint Fundraising Representative Leadership PA Sponsor Title or Position ITY STATE ZIP ODE SOUTHERLAND FOR ONGRESS FE ID number 00468959
Image# 10932102094 FE Form 1 (Revised 02/2009) Page 11 safety deposit boxes or maintains funds ITY STATE ZIP ODE Name of Any onnected Organization, Affiliated ommittee, Joint Fundraising Representative, or Leadership PA Sponsor ITY STATE ZIP ODE onnected Organization Affiliated ommittee Joint Fundraising Representative Leadership PA Sponsor Title or Position ITY STATE ZIP ODE STUTZMAN FOR ONGRESS FE ID number 00484683
Image# 10932102095 FE Form 1 (Revised 02/2009) Page 12 safety deposit boxes or maintains funds ITY STATE ZIP ODE Name of Any onnected Organization, Affiliated ommittee, Joint Fundraising Representative, or Leadership PA Sponsor ITY STATE ZIP ODE onnected Organization Affiliated ommittee Joint Fundraising Representative Leadership PA Sponsor Title or Position ITY STATE ZIP ODE YODER FOR ONGRESS FE ID number 00472365
Image# 10932102096 FE Form 1 (Revised 02/2009) Page 13 safety deposit boxes or maintains funds ITY STATE ZIP ODE Name of Any onnected Organization, Affiliated ommittee, Joint Fundraising Representative, or Leadership PA Sponsor ITY STATE ZIP ODE onnected Organization Affiliated ommittee Joint Fundraising Representative Leadership PA Sponsor Title or Position ITY STATE ZIP ODE JEFF PA FE ID number 00489112