FEC Form 1 for UBS Americas Fund for Better GovernmentForm 1 for UBS Americas Fund for Better Government

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-409962

1. UBS Americas Fund for Better Government

C/O PER DYRVIK
400 ATLANTIC STREET
STAMFORD, CT 06901
Email: SH-PAC_Administrator@ubs.com

2. Date: 03/27/2009

3. FEC Committee ID #: C00012245 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

UBS Americas, Inc.
C/o Per Dyrvik
400 Atlantic Street
Stamford, Connecticut 069013512
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Andrew Shapiro (PAC Administrator)
1501 K Street, NW
Suite 1100
Washington, DC 200051410
Title: Custodian of Records

Treasurer:

Per Dyrvik
400 Atlantic St
Stamford, Connecticut 069013512
Title: Treasurer

Designated Agent(s):

Bill Bidell (Assistant Treasurer)
299 Park Ave
37th Floor
New York, New York 101710002
Title: Designated Agent

Banks or Depositories

JPMorgan Chase Bank
1251 Avenue of the Americas
New York, New York 10020

Signed: Per Dyrvik
Date Signed: 03/27/2009

(End FEC FORM 1)

Generated Sun Nov 3 09:10:18 2024