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FEC Form 1 for ARCADIS U.S., INC. POLITICAL ACTION COMMITTEE (ARCADIS PAC)Form 1 for ARCADIS U.S., INC. POLITICAL ACTION COMMITTEE (ARCADIS PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-816294


1. ARCADIS U.S., INC. POLITICAL ACTION COMMITTEE (ARCADIS PAC)

    630 PLAZA DRIVE SUITE 100
    HIGHLANDS RANCH, CO 801292377
    Email: ARCADISPAC@ARCADIS-US.COM;zpacs@cox.net

    NOTE: Email address is different than previously reported

2. Date: 10/11/2012

3. FEC Committee ID #: C00388983 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

Arcadis U.S., Inc.
630 Plaza Drive
Suite 100
Highlands Ranch, Colorado 80129
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mr. Erhardt Werth
630 Plaza Drive
Suite 200
Highlands Ranch, CO 80129
Title: CoR/Executive VP
Phone # (720) 344-3110

Treasurer:

Mr. Erhardt Werth
630 Plaza Drive
Suite 200
Highlands Ranch, Colorado 80129
Title: Treasurer/Exec VP
Phone # (720) 344-3110

Designated Agent(s):

Ms. Ann Warner Avila
630 Plaza Drive
Suite 200
Highland Ranch, Colorado 80129
Title: Assistant Treas/SVP
Phone # (202) 912-8133

Banks or Depositories

Wells Fargo Bank
1740 Broadway
Denver, Colorado 80274

Signed: Mr. Erhardt Werth
Date Signed: 10/12/2012

(End FEC FORM 1)


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