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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1352248

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1. Transform SR Holding LLC PAC

    3333 Beverly Road
    B6-236A
    Hoffman Estates, IL 60179
    Email: luke.valentino@searshc.com

    NOTE: Email address is different than previously reported

2. Date: 09/17/2019

3. FEC Committee ID #: C00038612 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Transform SR Holdings LLC
3333 Beverly Rd
B6-236A
Hoffman Estates, Illinois 60179
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Luke Valentino
3333 Beverly Road
B6-236A
Hoffman Estates, IL 60179
Title: General Counsel
Phone # (847) 286-9551

Treasurer:

Mr. Luke Valentino
3333 Beverly Road
B6-222B
Hoffman Estates, Illinois 60179
Title: General Counsel
Phone # (847) 286-9551

Designated Agent(s):

Luke Valentino
3333 Beverly Rd
B6-236A
Hoffman Estate, Illinois 60179
Title: General Counsel
Phone # (847) 286-9551

Banks or Depositories

Bank of America
Po Box 15284
Wilimington, Delaware 19850

Signed: Mr. Luke Valentino
Date Signed: 09/17/2019

FORM TEXT-1

(End FEC FORM 1)

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