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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1023373

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1. SAMMONS ENTERPRISES INC. POLITICAL ACTION COMMITTEE

    5949 Sherry Lane
    Suite 1900
    Dallas, TX 75225
    Email: pdoeppe@sammonscorp.com

2. Date: 08/18/2015

3. FEC Committee ID #: C00388777 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Sammons Enterprises, Inc.
5949 Sherry Lane
Suite 1900
Dallas, Texas 75225
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Pamela Doeppe
5949 Sherry Lane
Suite 1900
Dallas, TX 75225
Title: Treasurer
Phone # (214) 210-5039

Treasurer:

Pamela Doeppe
5949 Sherry Lane
Suite 1900
Dallas, Texas 75211
Title: Treasurer
Phone # (214) 210-5039

Designated Agent(s):

Cheryl Gosch
5949 Sherry Lane
Suite 1900
Dallas, Texas 75225
Title: Assistant Treasurer
Phone # (214) 210-5058

Banks or Depositories

Bank of America
Global Treasury Management
901 Main St., 10th Floor
Dallas, Texas 75202

Signed: Pamela Doeppe
Date Signed: 08/25/2015

(End FEC FORM 1)

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