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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-738700

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1. Safari Club International PAC (SCI-PAC)

    4800 W. GATES PASS ROAD
    TUCSON, AZ 85745
    Email: BMORITZ@SAFARICLUB.ORG

2. Date: 07/26/2011

3. FEC Committee ID #: C00122101 This committee is a separate segregated fund. Its connected organization is a Corporation W/O Capital Stock

Affiliated Committees/Organizations

Safari Club International
4800 W. GATES PASS ROAD
TUCSON, Arizona 85745

Custodian of Records:

MR. WILLIAM MORITZ
4800 WEST GATES PASS RD.
TUCSON, AZ 85745
Title: EXECUTIVE DIRECTOR
Phone # (520) 620-1220

Treasurer:

WILLIAM MORITZ
4800 W. GATES PASS ROAD
TUCSON, Arizona 85745
Title: EXECUTIVE DIRECTOR
Phone # (520) 620-1220

Designated Agent(s):

WILLIAM MORITZ
4800 W. GATES PASS ROAD
TUCSON, Arizona 85745
Title: EXECUTIVE DIRECTOR
Phone # (520) 620-1220

Banks or Depositories

WELLS FARGO
150 N. STONE AVE.
TUCSON, Arizona 85701

WACHOVIA
PA6925
30 North Third Street, 9th Floor
Harrisburg, Pennsylvania 17101

Signed: WILLIAM MORITZ
Date Signed: 07/26/2011

FORM TEXT

(End FEC FORM 1)

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