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RECEIV[:o COMMITTEE NAME: AMERICAN LATINO ALLIANCE POLITICAL ACTION COMMITTE^^^^ ^ 9 flMI|:25 ÊC MAIL CENTER January 18,2012 Federal Election Commission 999 E Street, N.W. Washington, D.C. 20463 fsDi Re: Form 1, Statement of Organization—Unlimited Contributions Hi DearSir or Madam: 2 This committee intends to make independent expenditures, and consistent with the U.S. Q Court of Appeals for the District of Columbia Circuit decision in SpeechNow v. FEC, it therefore <^ intends to raise funds in unlimited amounts. This committee will not use those funds to make contributions, whether direct, in-kind, or via coordinated communications, to federal candidates or committees. Respectfully submitted. STATEMENT OF RECEIVED FEC ORGANIZATION FORM 1 2012JAN 19 Ami:25 (See instructions) r-'r-^ Omce use only 1. NAI\/IEOF r,< ^«^ (Check if name Example: If typying, type COMMITTEE (in full) U is changed) over the lines 12FE4M5 fr.iui m •iiil.ii.-i...^lr.....i..^.i .1 liln . - } ^ ., j I ^ /^m^rij:aiji LâtipoÂyiapcp lôliticâl ^cjtiop <poijniijiitl|ee^ ^ ^ I I I I I I I I I I I I l i l il I I I I II I I I I I I I I II 1617 Inlet Court ADDRESS (number and street) II I I I II l l l l ll I ll (Check if address I I I I I I I I I I I I I I I II II is changed) VAI l_J_l_l_l_l_l_l_l_l_l- CITY, STATE, ZIP CODE COMMITTEE'S E-MAIL ADDRESS (Please provide only one e-mail address) I [email protected] (Check if address ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' I 'l J_JL is changed) I I I I II I I I I I I I I J__L COMMITTEE'S WEB PAGE ADDRESS (URL) None n (Check if address I I I II I I I II I I I I I I I I l_l is changed) I I I I I I I I I I I I I I I I I I I I 2. DATE I 0 1 3. FEC IDENTIFICATION NUMBER 4. IS THIS STATEMENT N 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 Joe Velasquez CM '' M l / r D s D> / ;: v-r-7^'™^T™71 Signature of Treasurer NOTE: Submission of false, en-oneous, 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: FEC FORM 1 Use Federal Election Commission I Only Toll Free 800-424-9530 (Revised 02/2009) Local 202-694-1100 FEC Form 1 (Revised 02/2009) Page 2 TYPE OF COMMITTEE (Check One) Candidate Committee: (a) 1 J This committee is a principal campaign committee. (Complete the candidate information below.) :f™™' 'H (b) 1J This committee is an authorized committee, and is NOT a principal campaign committee. (Complete the candidate information below.) Name of Candidate 1__L_L_L i l ii J I I I I I I I I I I l ll ±1 L Candidate Office n State Party Affiliation I Sought: House Senate President ;siBSs;^s;.5s=is!!;Ts:;S District (c) I I This committee supports/opposes only one candidate, and is NOT an authorized committee. Name of Candidate J L I I I! L_l J I Party Committee: (National, State (Democratic, W i J This committee is a (or subordinate) committee of the Republican.etc.) Party. Political Action Committee (PAC): (e) I H This committee is a separate segregated fund. (Identify connected organization on line 6.) Its connected organization is a: I Corporation Corporation w/o Capital Stock Labor Organization I Membership Organization Trade Association Cooperative I I In addition, this committee is a Lobbyist/Registrant PAC. (f) fx! 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. "1 i J In addition, this committee is a Leadership PAC. (Identify sponsor on line 6.) Joint Fundraising Representative: (g) IP^ This committee collects contributions, pays fundraising expenses and disburses net proceeds for two or more political commlttees/organizatlons, at least one of which is an authorized committee of a federal candidate. ir ji This committee collects contributions, pays fundraising expenses and disburses net proceeds for two or more political (h) iU J committees/organizations, none of which is an authorized committee of a federal candidate. Committees Participating in Joiin t Fundraiser I I I II l i l il FEC ID number i l l l! FEC ID number FEC ID number i£^ ^ I 1 I I i i I FEC ID number fc f I i i FEC Form 1 (Revised 02/2009) Pages Write or Type Committee Name American Latino Alliance Political Action Committee 6. Name of Any Connected Organization, Affiliated Committee^ Joint Fundraising Representative, or Leadership PAC Sponsor ^ 9 ^^ I i i i i I i I 1 I I i i- I I I I 1 I i i i i li I I i I i I i I I I I I I I I I I I I I II I I I II I I I I I I I I II I I I II Mailing Address I I I i i I i I i l ii I l i i i ii J L I I I I I I II I I l i il J L J-L I l ll I I I CITYA STATEA ZIP CODE A Relationship: r Connected Organization Affiliated Committee I f Joint Fundraising Representative s 1 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. Joe Velasquez Full Name l l l l ll J L_i L_J L I I l_l L J _L I I I I 1617 Inlet Court Mailing Address Reston VA 22090 - Title or Position V CITYA STATEA ZIP CODE \ Treasurer Telephone number 238 - 0033 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 ofTreasurer Joe Velasquez 1617 Inlet Court Mailing Address Reston VA 23000 - Title or Position V CITYA STATEA ZIP CODE 1 Treasurer 202 238 0033 Telephone number FEC Form 1 (Revised 02/2009) Page 4 Full Name of Designated Agent ^ Mailing Address Title or Position V CITY A STATE A ZIP CODE A 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. I Wells Fargo I I I I I 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 |_J I I I 1700 Pennsylvania Ave NW 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 i I I i i I i I i i I I Washinqton I I DC I I 20006 I _ I I ygôiiMiawM I I I I I I I I I I I II |_J.ZJ I ! I I I I l i ii CITY ^ STATED ZIPCODE A Name of Bank, Depository, etc. • 1_1 I I I I I I I I i I I I 1 '. I I I I i I I i I I I 1 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 11 I \ I I 1 I I l ll l_i I 1 I I l_L_l I \ !_ ! i I I • I I I i I I : I i I I I I I I I I I i 1 \ \ I ~ I I L_L CITY A STATED ZIPCODE A Federal Election Commission ENVELOPE REPLACEMENT PAGE FOR INCOMING DOCUMENTS The FEC added this page to the end of this filing to indicate how it was received. Date of Receipt I I Hand Delivered Postmarked • USPS First Class Mail Postmarked (R/C) I I USPS Registered/Certified Postmarked I I USPS Priority Mail Delivery Confirmation™ or Signature Confirmation"™ Label I I Postmariced USPS Express Mail I I Postmark Illegible • No Postmark Shipping Date I I Ovemight Delivery Service (Specify): Next Business Day Delivery I I Date of Receipt I I Received from House Records & Registration Office Date of Receipt • Received from Senate Public Records Office Date of Receipt [ I Received from Electronic Filing Office Date of Receipt or Postmariced I I Other (Specify): lj l?Jl^ PREPARER DATE PREPARED (3/2005)