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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-894909

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1. Financial Services Roundtable PAC

    1001 Pennsylvania Avenue, NW
    Suite 500 South
    Washington, DC 200042508
    Email: George.Forsberg@FSRoundtable.org;george@fsround.org

2. Date: 11/07/2013

3. FEC Committee ID #: C00193177 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

Financial Services Roundtable, The
1001 Pennsylvania Ave NW
Washington, DC 200042502
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

George D Forsberg
1001 Pennsylvania Ave, N.W.
Suite 500 South
Washington, DC 200042508
Title: Treasurer
Phone # (202) 589-2403

Designated Agent(s):

Banks or Depositories

Bank of America
1001 Pennsylvania Ave, NW
Washington, DC 20004

Signed: George D Forsberg
Date Signed: 11/15/2013

FORM TEXT

(End FEC FORM 1)

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