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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-964512

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1. E.I. du Pont de Nemours Company Good Government Fund (DuPont Good Government Fund)

    Chestnut Run Plz-Bldg 708/Off. 178
    974 Centre Rd
    Wilmington, DE 19805
    Email: pacservices@ddcpublicaffairs.com;Jessica.Galarza@dupont.com

    NOTE: Email address is different than previously reported

2. Date: 10/22/2014

3. FEC Committee ID #: C00171926 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

E.I. du Pont de Nemours Company
1007 Market Street
Wilmington, Delaware 19898
Affiliated Relationship Code: Connected Organization

Custodian of Records:

DD C
805 15th St, NW - Suite 300
Attn: Philip Leeman
Washington, DC 20005
Title: Custodian of Records
Phone # (202) 830-2104

Treasurer:

Jessica Galarza
Chestnut Run Plz-Bldg 708/Off. 178
974 Centre Rd
Wilmington, Delaware 19805
Title: Treasurer
Phone # (302) 999-6742

Designated Agent(s):

Ms. Mary T. Casper
974 Centre Road
CRP 735/3170-2
Wilmington, Delaware 19805
Title: Assistant Treasurer
Phone # (302) 992-4537

Banks or Depositories

Bank of America
6011 Oxon Hill Rd
Oxon Hill, Maryland 20745

Signed: Jessica Galarza
Date Signed: 10/22/2014

(End FEC FORM 1)

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