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FEC Form 1 for CenturyLink Inc. Employees Political Action CommitteeForm 1 for CenturyLink Inc. Employees Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1190230


1. CenturyLink Inc. Employees Political Action Committee

    1099 New York Avenue NW
    Suite 250
    Washington, DC 20001
    Email: brian.adkins@centurylink.com;larry.k.mathiot@centurylink.com

2. Date: 11/03/2017

3. FEC Committee ID #: C00419911 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

CenturyLink Inc.
100 CenturyLink Drive
Monroe, Louisiana 71203
Affiliated Relationship Code: Connected Organization

LEVEL 3 COMMUNICATIONS INC. POLITICAL
1025 EL DORADO BLVD
BROOMFIELD, Colorado 80021
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Brian Adkins
1099 New York Avenue, NW
Washington, DC 20001
Title: Custodian of Records
Phone # (202) 429-3110

Treasurer:

Brian Adkins
1099 New York Avenue NW
Washington, DC 20001
Title: Treasurer
Phone # (202) 429-3110

Designated Agent(s):

Mr. Scott Kissau
116 W. Century Road
Maple City, Michigan 49664
Title: Assistant Treasurer
Phone # (231) 228-5201

Banks or Depositories

Capital One Bank
1804 N 18th St
Monroe, Louisiana 71201

Signed: Brian Adkins
Date Signed: 11/03/2017

(End FEC FORM 1)


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