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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1180091

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1. Conduent Incorporated Political Action Committee (CNDT PAC)

    750 First Street, N.E.
    Suite 1020
    Washington, DC 20002

    NOTE: Address is different than previously reported

    Email: tanya@polcs.com;ken.adami@conduent.com

    NOTE: Email address is different than previously reported

2. Date: 08/14/2017

3. FEC Committee ID #: C00629527 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Conduent Incorporated
100 Campus Drive
Florham Park, New Jersey 07932
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Tanya Y. Donalty
750 First Street, NE
Suite 1020
Washington, DC 20002
Title: Custodian of Records
Phone # (703) 328-4994

Treasurer:

Ken Adami
750 First Street, NE
Suite 1020
Washington, DC 20002
Title: Treasurer
Phone # (202) 840-7067

Designated Agent(s):

Olivia Igbokwe-Curry
750 First Street, NE
Suite 1020
Washington, DC 20002
Title: Assistant Treasurer
Phone # (202) 962-7853

Banks or Depositories

JPMorgan Chase
One Chase Manhattan Plaza
7th Floor
New York, New York 10004

Signed: Ken Adami
Date Signed: 08/19/2017

(End FEC FORM 1)

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