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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1095071

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1. Intelsat Corporation Political Action Committee

    7900 Tysons One Place
    McLean, VA 22102
    Email: IntelsatPAC@intelsat.com

2. Date: 08/18/2016

3. FEC Committee ID #: C00412403 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

Intelsat Corporation
7900 Tysons One Place
McLean, Virginia 22102
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Aimee Steel
800 17th Street, NW
Suite 1100
Washington, DC 20006
Title: Custodian of Records
Phone # (202) 828-1895

Treasurer:

Stephen Chernow
7900 Tysons One Place
McLean, Virginia 22102
Title: Treasurer
Phone # (703) 559-7771

Designated Agent(s):

Sajid Ajmeri
7900 Tysons One Place
McLean, Virginia 22102
Title: Assistant Treasurer
Phone # (703) 559-7601

Banks or Depositories

Wells Fargo
PO Box 6995
Portland, Oregon 97228

Signed: Stephen Chernow
Date Signed: 08/18/2016

(End FEC FORM 1)

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