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RECEIVED Taxpayer Network PAC 2012 JAN 23 AH 11 • I4O 2351 Sunset Blvd, Suite 1770 #418 ^r- .. rr Roclclin,CA 95765 FEC MAIL CEN fER January 17, 2012 Federal Election Commission Reports Analysis Division 999 E Street, N.W. Washington, D.C. 20463 RE: Taxpayer Network PAC (I/D No. Requested) Statement of Organization-Form 1 Independent Expenditure: Unlimited Contributions To Whom It May Concern: This letter is to provide notice to the Commission that the above referenced Committee intends to use its funds to exclusively make independent expenditures. Consistent with the U.S. Court of Appeals for the District of Columbia Circuit decision in Speech Now v FEC, and the stipulated judgment in Carey v FEC, (D.D.C.2011) the Committee intends to raise funds in unlimited amounts from individuals, corporations, labor organizations and/or other political committees. The Committee will not use the funds to make contributions, whether direct, in-kind or for coordinated communications or coordinated expenditures, to federal candidates or conunittees. Respectfully submitted. Kelly Lawler, 'u^surer Taxpayer Network PAC PAGE 1/4 r RECEIVO) STATEMENT OF ORGANIZATION mmz3 AMII: 1,0 FEC FORM 1 Office 6£&iyMA I( rpfjjpi^ 1. NAME OF ri (Check If name Example: If typing, type |12FE4M5 i COMMITTEE (In full) ^^'i is changed) over the lines. Taxpayer Network PAC I i I J ! L I I i I i I 1 I 1 i I I I I I 1 I i I I I i I I .2351 Sunset Blvd, Suite 1770 #418 ADDRESS (number and street) ! i i i I i i ! ! i i i i i I I i I i i i I i O (Check if address i I I I i I I I i I I I I II is changed) Rocklin ,CA ,95765 [A 1 I ! I CITY STATE ZIP CODE COMMITTEE'S E-MAIL ADDRESS (Please provide only one e-mail address) , [email protected] I I ! (Check If address is changed) I I I I I II l i l l l l ll COMMITTEE'S WEB PAGE ADDRESS (URL) l i l il I I I I l ll (Check if address is changed) i I I I i i I I I I I I II ^ ^ 1 1 . 2012, 3. FEC IDENTIFICATION NUMBER 4. IS THIS STATEMENT N NEW (N) OR AMENDED (A) / certify that I have examined this Statement and to the best of my linowledge and belief it is true, correct and complete. Type or Print Name of Treasurer Kelly Lawler Kelly Lawler Signature of Treasurer NOTE: Submission of false, erroneous, or incomplete informatlDn 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 L Use Federal Election Commission Toll Free 800-424-9530 (Revised 02/2009) Only Local 202-694-1100 r FEC Form 1 (Revised 02/2009) Page 2 5. TYPE OF COMMITTEE Candidate Committee: (a) 0 1 This committee is a principal campaign committee. (Complete the candidate Information below.) D This committee Is an authorized committee, and is NOT a principal campaign committee. (Complete the candidate information below.) Name of Candidate I I I 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 i i i • i = I ! I i ! i i I I I I ! I i I I i I ! Candidate i i i i i l i ii L_i I I 1 J L Party Committee: (National, State (Democratic, (d) This committee is a or subordinate) committee of the Republican, etc.) Party. Politicai Action Committee (PAC): (e) IJ This committee is a separate segregated fund. (Identify connected organization on line 6.) Its connected organization is a: Q Corporation Q Corporation w/o Capital Stock Q Labor Organization IJ Membership Organization Q Trade Association Q Cooperative Q In addition, this committee is a Lobbyist/Registrant PAC. (f) PI This committee supports/opposes more than one Federal candidate, and is NOT a separate segregated fund or party committee, (i.e., nonconnected committee) 1^1 In addition, this committee is a Lobbyist/Registrant PAC. Ll 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 LJ committees/organizations, none of which Is an authorized committee of a federal candidate. Committees Participating in Joint Fundraiser 1. I I I i i I I I I I I I I 1 FEC ID numberjQ FEC ID number 2. 3. J FEC ID number |Q 4. 1 ! j FEC ID numberjQ L J r 1 FEC Form 1 (Revised 02/2009) Page 3 Write or Type Committee Name Taxpayer Network PAC 6. Name of Any Connected Organization, Affiliated Committee, Joint Fundraising Representative, or Leadership PAC Sponsor .Npi|l^ I i I I i l l! I I I! M i I I i i I 5 Mailing Address I ! I CITY STATE ZIP CODE Relationship: i| Connected Organization ||Affiliated Committee fj Joint Fundraising Representative Ij 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. Kelly Lawler Full Name .PO Box 984 Mailing Address I i i i i i i i i i ii I I I II l i l il l i i i ii Willows CA .95988 ! i I I I J I Title or Position CITY STATE ZIP CODE i Treasurer 530 934 < , 5823 I I I II Telephone number L 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 Kelly Lawler of Treasurer l l l l ll i I ! J L iPO Box 984 Mailing Address I I I II l i l l l l ll i I ! I Willows CA •95988 i I I CITY STATE ZIP CODE Title or Position . Treasurer 530 934 . , 5823 1 I ! I i I i I ! I I I i Telephone number L J r FEC Form 1 (Revised 02/2009) Page 4 Full Name of Designated Agent i i i i i i i i i i ii i l l i ii Mailing Address i_J L_L J 1 I ! L I I L I i li -L_J Ll CITY STATE ZIP CODE Title or Position I I I i I I I I I I j I 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. iTri Counties l l l l ll .210 N Tehama Mailing Address I i i I I I J L J I 1 I i i I I L I Willows CA I 195988 J L ! I i ! CITY STATE ZIP CODE Name of Bank, Depository etc. l i il Mailing Address i i i i i i i i il I i I CITY STATE ZIP CODE L J 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 • Hand Delivered Postmarked ^yuSPS 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 Postmarked I I USPS Express Mail I I Postmark Illegible • No Postmark Shipping Date [ I Ovemight Delivery Service (Specify): Next Business Day Delivery I I Date of Receipt I [ Received from House Records & Registration Office Date of Receipt • Received from Senate Public Records Office Date of Receipt I I Received from Electronic Filing Office Date of Receipt or Postmarked I I Other (Specify): /Jull^ PREPARER DATE PREPARED (3/2005)