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FEC Form 1 for Halliburton Company PACForm 1 for Halliburton Company PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-192545


1. Halliburton Company PAC

    1150 18th St. NW
    Suite 200
    Washington, DC 20036
    Fax: 202-223-2385
    Email: matt.kippeny@halliburton.com

2. Date: 11/21/2005

3. FEC Committee ID #: C00035691 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Halliburton
1401 McKinney St
Suite 2400
Houston, Texas 770104008
Relationship: Sponsor Company
Organization Type: Corporation

Custodian of Records:

Matt Kippeny
1150 18th St. NW
Suite 200
Washington, DC 20036
Title: Secretary
Phone # (202) 223-0820

Treasurer:

Larry Henry
4100 Clinton Dr.
01-794
Houston, Texas 77020
Title: Treasurer
Phone # (713) 753-2769

Designated Agent(s):

Matthew Kippeny
1150 18th Street
Suite 200
Washington, DC 20036
Title: Senior Government Af
Phone # (202) 223-0820

Banks or Depositories

Matt Kippeny
1150 18th Street NW
Suite 200
Washington, DC 20036

Signed: Larry Henry
Date Signed: 11/21/2005
Official Committee FAX: 202-223-2385


FORM TEXT

(End FEC FORM 1)


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