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FEC Form 1 for Koch Industries Inc Political Action Committee (KOCHPAC)Form 1 for Koch Industries Inc Political Action Committee (KOCHPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-165131


1. Koch Industries Inc Political Action Committee (KOCHPAC)

    655 15th Street NW Suite 445
    Washington, DC 20005
    Fax: 2027378111
    Email: lacye.tennille@kochind.com

2. Date: 02/09/2005

3. FEC Committee ID #: C00236489 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Koch Industries Inc.
4111 East 37th Street North
Wichita, Kansas 67220
Relationship: Connected
Organization Type: Corporation

Custodian of Records:

Lacye R. Tennille
655 15th Street Suite 445
Washington, DC 20005
Title: Treasurer
Phone # (202) 879-8541

Treasurer:

Lacye R. Tennille
655 15th Street NW
Suite 445
Washington, DC 20005
Title: Treasurer
Phone # (202) 879-8541

Designated Agent(s):

Kristen C. Treibs
655 15th Street NW
Suite 445
Washington, DC 20005
Title: Asst. Treasurer
Phone # (202) 879-8535

Banks or Depositories

InTrust Bank
3801 North Rock Road
Wichita, Kansas 67220

Signed: Lacye R. Tennille
Date Signed: 02/16/2005
Official Committee FAX: 2027378111

(End FEC FORM 1)


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