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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1017192

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1. Aqua America, Inc. H2O Political Action Committee

    762 West Lancaster Avenue
    Bryn Mawr, PA 19010
    Email: H2O_PAC@myfecnotices.com

2. Date: 07/15/2015

3. FEC Committee ID #: C00340455 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Aqua America, Inc.
762 West Lancaster Avenue
Bryn Mawr, Pennsylvania 19010
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Political Action Committee Services, LLC
18 Iron Gate Drive
Unit 10
Waldorf, MD 20602
Title: Custodian of Records
Phone # (301) 645-0215

Treasurer:

David Kralle
762 West Lancaster Avenue
Bryn Mawr, Pennsylvania 19010
Title: Treasurer
Phone # (610) 645-4264

Designated Agent(s):

Banks or Depositories

PNC Bank
18 South Bryn Mawr Avenue
Bryn Mawr, Pennsylvania 19010

Signed: David Kralle
Date Signed: 07/15/2015

(End FEC FORM 1)

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