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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1035681

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1. Kleinfelder Group Political Action Committee

    550 West C Street
    Suite 1200
    San Diego, CA 92101
    Email: kleinfelder@electioncompliance.com

2. Date: 12/14/2015

3. FEC Committee ID #: C00463943 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Kleinfelder Group
550 West C Street
Suite 1200
San Diego, California 92101
Affiliated Relationship Code: Connected Organization

Custodian of Records:

PAC Outsourcing LLC
5845 Richmond Highway
Suite 820
Alexandria, VA 22303
Title: Custodian of Records
Phone # (703) 347-6551

Treasurer:

Joni Powell
3 AAA Boulevard
Hamilton, New Jersey 08691
Title: Vice President/Princ
Phone # (609) 238-2614

Designated Agent(s):

Kerry Ruebelmann
849 West Levoy Drive
Suite 200
Taylorsville, Utah 84123
Title: Assistant Treasurer
Phone # (801) 263-3336

Banks or Depositories

US Bank
4747 Executive Drive
San Diego, California 92121

Signed: Joni Powell
Date Signed: 12/14/2015

(End FEC FORM 1)

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