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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1553407

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1. TDS Telecommunications Corporation PAC

    525 Junction Road
    Madison, WI 53717
    Email: FECINFO@pass1.com

    NOTE: Email address is different than previously reported

2. Date: 12/27/2021

3. FEC Committee ID #: C00299750 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

TDS Telecommunications Corporation
525 Junction Road
Madison, Wisconsin 53717
Affiliated Relationship Code: Connected Organization

Committee ID# C00336057
United States Cellular Corporation Pol
8410 W. Bryn Mawr, Ste 700
Chicago, Illinois 60631
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

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

Treasurer:

Andrew S Petersen
525 Junction Road
Madison, Wisconsin 53717
Title: Treasurer
Phone # (608) 664-4155

Designated Agent(s):

Kit Beyer
525 Junction Road
Madison, Wisconsin 53717
Title: Chairperson
Phone # (608) 664-4428

Banks or Depositories

Comerica Bank
PO Box 75000 MC 2250
Detroit, Michigan 48275

Signed: Andrew S Petersen
Date Signed: 12/27/2021

FORM TEXT-1

(End FEC FORM 1)

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