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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-753970

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1. Valero Energy Corporation Political Action Committee

    One Valero Way
    San Antonio, TX 78249
    Email: sscally@nmgovlaw.com

2. Date: 12/02/2011

3. FEC Committee ID #: C00109546 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

Valero Energy Corporation
One Valero Way
San Antonio, Texas 78249
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Bethany Hausmann
One Valero Way
San Antonio, TX 78249
Title: Custodian of Records
Phone # (210) 345-4402

Treasurer:

Tammy V. Floyd
One Valero Way
San Antonio, Texas 78249
Title: Treasurer
Phone # (210) 345-2764

Designated Agent(s):

Jason D. Kaune
2350 Kerner Blvd., Suite 250
San Rafael, California 94901
Title: Assistant Treasurer
Phone # (415) 389-6800

Darrin Lim
2350 Kerner Blvd., Suite 250
San Rafael, California 94901
Title: Assistant Treasurer
Phone # (415) 389-6800

Banks or Depositories

Synergy Federal Credit Union
One Valero Way
San Antonio, Texas 78249

Signed: Darrin Lim
Date Signed: 12/02/2011

(End FEC FORM 1)

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