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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-844548

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1. NOMURA PAC

    1101 Pennsylvania Avenue, NW
    Suite 515
    Washington, DC 20004
    Email: lauren.myrick@nomura.com

    NOTE: Email address is different than previously reported

2. Date: 01/04/2013

3. FEC Committee ID #: C00491951 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Nomura Holding America Inc.
1101 Pennsylvania Avenue, NW
Suite 515
Washington, DC 20004
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Ms. Lauren Myrick
1101 Pennsylvania Avenue, NW
Suite 515
Washington, DC 20004
Title: Administrative Assis
Phone # (202) 393-4165

Designated Agent(s):

Lauren Myrick
1101 Pennsylvania Avenue NW
Washington, DC 20004
Title: Adminstrative Assist
Phone # (202) 393-4165

Banks or Depositories

Citi
100 Citibank Drive
San antonio, Texas 78245

Signed: Ms. Lauren Myrick
Date Signed: 01/04/2013

(End FEC FORM 1)

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