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-407110

1. Koch Industries Inc Political Action Committee (KOCHPAC)

655 15th Street NW
Suite 445
Washington, DC 20005
Email: kochpac@kochind.com

NOTE: Email address is different than previously reported

2. Date: 03/10/2009

3. FEC Committee ID #: C00236489 This committee is a separate segregated fund. Its connected organization is a Corporation
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Committee ID# C00236489
Koch Industries Inc.
4111 East 37th Street North
Wichita, Kansas 67220
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Lacye R Tennille
655 15th Street
Suite 445
Washington, DC 20005
Title: Political Director
Phone # (202) 737-1977

Designated Agent(s):

Banks or Depositories

InTrust
3801 North Rock Road
Wichita, Kansas 67220

Signed: Lacye R Tennille
Date Signed: 03/10/2009

(End FEC FORM 1)

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