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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1301880

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1. HSBC North America Federal, State and Local Political Action Committee (HSBC Combined PAC)

    1401 I Street NW
    Suite 500
    Washington, DC 20005
    Email: michael.g.geffroy@us.hsbc.com,fecinfo@pass1.com

    NOTE: Email address is different than previously reported

2. Date: 12/20/2018

3. FEC Committee ID #: C00033423 This committee is a separate segregated fund. Its connected organization is a Corporation
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

HSBC North America
452 5th Avenue
New York, New York 10018
Affiliated Relationship Code: Connected Organization

HSBC North America Federal Political A
1401 I Street NW
Suite 500
Washington, DC 20005
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Vincent Tallman
PASS, 1950 Roland Clarke Pl. #300
Reston, VA 20191
Title: Custodian of Records
Phone # (703) 476-3070

Treasurer:

Michael G Geffroy
1401 I Street NW
Suite 500
Washington, DC 20005
Title: Treasurer
Phone # (202) 778-1428

Designated Agent(s):

Courtney C Futryk
1401 I Street NW
Suite 500
Washington, DC 20005
Title: Assistant Treasurer
Phone # (202) 778-1437

Banks or Depositories

HSBC North America Bank USA
452 5th Avenue
New York, New York 10018

Signed: Michael G Geffroy
Date Signed: 12/20/2018
Official Committee URL: N/A

(End FEC FORM 1)

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