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FEC
FORM 1
STATEMENT OF
ORGANIZATION
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1. NAME OF
COMMITTEE (in full)
(Check if name
is changed)
iRickPAC
I I I I I I I I I I I I I I I
Exampie:lf typing, type
over the iines.
I I I I I { I I { { I I I I { I ! I I 1 i I I I I I
{{ 1 I i I I I I I I I I I
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J L
I I I I I I j I I I I I I I I I
1
2
f
9
ADDRESS (number and street)
(Check if address
is changed)
P.O. Box 2735
I I I I I I J L
I I I I I I I I I I I i I I
J I L J i I I I L J L J \ L_J L J I I \ I I \ I L
I I I i I I I I
TXi 78768
I I I I I I I
CITY STATE ZIP CODE
COMMITTEE'S E-MAIL ADDRESS (Please provide only one e-mail address)
ispa?s3ptirio@m(?keppaiona.pom
(Check if address
is changed)
JL
I I I I I I I I I I
i I I I 1 I I I 1 I i I I I 1 I I I
COMMITTEE'S WEB PAGE ADDRESS (URL)
' I I I 1 I I I I I I I I I I I I I I I I I I I I I I I I I I i I I
I I i I I I I I I I I I I I I I I I-I I I I
(Check if address
is changed)
2. DATE
mn
3. FEC IDENTiFiCATiON NUMBER
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.
Stefan C. Passantino
Type or Print Name of Treasurer
Signature of Treasurer Date
mw.
NOTE: Submission of false, emoneous, or incomplete information may subj ect the person signing this Statement to the penalties of 2 U.S.C. 437g.
ANY CHANGE IN INFORMATION SHOULD BE REPORTED WITHIN 10 DAYS.
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Office
Use
Only
For f urther Inf ormation contact:
Federal Election Commission
Toll Free 800-424-9530
Local 202-694-1100
FEC FORM 1
(Revised 02/2009)
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FEC Form 1 (Revised 02/2009) Page 2
5. TYPE OF COMMITTEE
Candidate Committee:
(a)
(b)
This committee is a principal campaign committee. (Corriplete the candidate information below.)
This committee is an authorized committee, and is NOT a principal campaign committee. (Complete the candidate
information below.)
Name of
Candidate
I I I I I I I I I I _1_J L_l \ Ll L I I I I I I I I
Candidate
Party Affiliation
Office
Sought: House Senate President
State
District
(c)
Name of
Candidate
This committee supports/opposes only one candidate, and is NOT an authorized committee.
I I
I I
I I I I I I I I I I I I I I I ' I I I I I I I I r I I I I I I I I I I I
I I I I I I I I I I I I I I I I I I I I I I
Party Committee:
This committee is a (d)
(National, State D - |
or subordinate) committee of the Q , . |
(Democratic,
Republican, etc.) Party.
Political Action Committee (PAC):
(e) This committee is a separate segregated fund. (Identify connected organization on line 6.) Its connected organization is a:
Corporation w/o Capital Stock Corporation
Membership Organization |__| Trade Association
In addition, this committee is a Lobbyist/Registrant PAC.
Labor Organization
Cooperative
(0
S
This committee supports/opposes more than one Federal candidate, and is NOT a separate segregated fund or party
mmmiHAO V \ p nnnrnnnpntpH rnmmittpp^ 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:
(9)
(h)
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.
Committees Participating in Joint Fundraiser
1. I 1
2- !
3 - I
4 . I
FEC ID number
j FEC ID number [
cd
J : V 'J
JFEC ID "umberj cl
'Cj
FEC ID number d
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FEC Form 1 (Revised 02/2009) Page 3
Write or Type Committee Name
RickPAC
6. Name of Any Connected Organization, Af f iliated Committee, Joint Fundraising Representative, or Leadership PAC Sponsor
1
4
2
Mailing Address
X
CITY STATE
I I I L -1_L
ZiP CODE
Relationship; Connected Organization Affiliated Committee Joint Fundraising Representative Leadership PAC Sponsor
2
1
7. Custodian of Records: Identify by name, address (phone number -optional) and position of the person in possession of committee
books and records.
Full Name
Mailing Address
[Corry Bliss
I I I I L J I I I l_l I I I I I 1 I LJ L_l I II I I_1 L
I I I I I I
I I I I I I I I- I I I I I I I I I I I
Title or Position
I I I I I I I I I I I I I I
CITY STATE ZIP CODE
[Assistant Treasurer
I I I I I I I I I Telephone number
[617, |_|970, |,|702^
8. Tt-easurer: 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 stefapi C. Passantlno
I I I I I I I I I I of Treasurer
Mailing Address
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I I I I I I I I I I I I I I I I I I I ' I I
I I I I I I I I I I
CITY STATE ZIP CODE
Title or Position
I I I I I I I I I I I I I
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Telephone number
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FEC Form 1 (Revised 02/2009) Page 4
0
3
1
2
Full Name of
Sr" icprry ?iis^
Agent
Mailing Address
I I I I I I I I I I I I I I I I I I I I I I I I I I I
I I I I I I I I
I I I I I I I I I I I I I I I I
L I I I I I I I I I I I I I I I r I I I I I I I I I ! I I I I I I
I I I I I I I I I I I
I I I
Title or Position
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CITY
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STATE ZIP CODE
Telephone number 1617, l-|9|0, I-|7P^5, I
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.
|P)aj ns pepj tal B^t^k ,
Mailing Address
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I I I I I I I I I I I I I I I I I I I I I I I I I I
I I I I I I I I I I I I
7^701
I I I I I
CITY STATE ZIP CODE
Name of Bank, Depository, etc.
I I I I I I I I I I I I
Mailing Address I I I I I I I I I I I I I I I I I I
I I I I I I I I
I I I I I I I I I I I I I I I I I
CITY
I I I I
I I I
STATE ZIP CODE
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Federal Election Commission
ENV ELOPE REPLACEMENT PAGE FOR INCOMING DOCUMENTS
The FEC added this page to the end of this filing to indicate how it was received.
Z' Date of Receipt
\/ Hand Delivered 11
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Postmarked (R/C)
USPS Registered/Certified
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USPS Priority Mail
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USPS Priority Mail Express
Postmark Illegible
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Shipping Date
Overnight Delivery Service (Specify);
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Date of Receipt
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Other (Specify):
7/31/)t
PREPARER DATE PREPARED
(8/201 3)