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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1301389

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1. Motorcycle Industry Council Political Action Committee-MICPAC

    1235 S. Clark St.
    Ste. 600
    Arlington, VA 22202
    Email: llisker@hdafec.com;micpac@mic.org

2. Date: 12/14/2018

3. FEC Committee ID #: C00692855 This committee is a separate segregated fund. Its connected organization is a Trade Association
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Motorcycle Industry Council
1235 S. Clark St.
Ste. 600
Arlington, Virginia 22202
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Lisa Lisker
228 S. Washington St.
Ste. 115
Alexandria, VA 22314
Title: Assistant Treasurer
Phone # (703) 549-7705

Treasurer:

Tim Buche
1235 S. Clark St.
Ste. 600
Arlington, Virginia 22202
Title: Treasurer
Phone # (949) 727-4211

Designated Agent(s):

Erik Pritchard
1235 S. Clark St.
Ste. 600
Arlington, Virginia 22202
Title: Assistant Treasurer
Phone # (949) 727-4211

Lisa Lisker
228 S. Washington St.
Ste. 115
Alexandria, Virginia 22314
Title: Assistant Treasurer
Phone # (703) 549-7705

Banks or Depositories

BB&T
1909 K St., NW
Washington, DC 20006

Signed: Tim Buche
Date Signed: 12/14/2018

(End FEC FORM 1)

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