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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1607338

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1. Principal Life Insurance Company Political Action Committee

    711 High Street
    Government Relations
    Des Moines, IA 503920220
    Email: kempkes.jill@principal.com

2. Date: 07/01/2022

3. FEC Committee ID #: C00128918 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

Principal Life Insurance Company
711 High St.
Des Moines, Iowa 503920002
Affiliated Relationship Code: Connected Organization

Committee ID# C00698043
Principal Life Insurance Company State
711 High Street
Government Relations
Des Moines, Iowa 503920002
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Ms. Jill E. R. Kempkes
711 High Street
711-6C55
Des Moines, IA 503920220
Title: Associate Director -
Phone # (515) 248-3047

Treasurer:

Mr. Doug Dornacker
711 High Street
Des Moines, Iowa 503927660
Title: Treasurer
Phone # (515) 247-4860

Designated Agent(s):

Mr. Chris Payne
801 Pennsylvania Avenue, N.W.
Suite 420
Washington, DC 200042615
Title: PrinPAC Assistant Tr
Phone # (202) 292-5933

Mr. Doug Dornacker
711 High Street
Des Moines, Iowa 503927660
Title: Treasurer
Phone # (515) 247-4860

Banks or Depositories

Axos Bank
4350 LaJolla Village Drive
Suite 140
San Diego, California 92122

Signed: Mr. Doug Dornacker
Date Signed: 07/07/2022

FORM TEXT-1

(End FEC FORM 1)

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