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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1550366

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1. FORD MOTOR COMPANY CIVIC ACTION FUND

    One American Road
    Dearborn, MI 481262701

    NOTE: Address is different than previously reported

    Email: outsourcing@aristotle.com;henrietta.tow@aristotle.com

    NOTE: Email address is different than previously reported

2. Date: 12/01/2021

3. FEC Committee ID #: C00046474 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

Ford Motor Company
One American Road
Dearborn, Michigan 481262701
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Justin Phillips
205 Pennsylvania Ave.
Washington, DC 200031164
Title: Custodian of Records
Phone # (203) 543-8345

Treasurer:

David Mason
205 Pennsylvania Ave.
Washington, DC 200031164
Title: Treasurer
Phone # (220) 543-8345

Designated Agent(s):

LAURA C DOVE
801 Pennsylvania Avenue, Nw
Suite 400
Washington, DC 20004
Title: Designated Agent

Banks or Depositories

Comerica Bank
PO Box 75000
Detroit, Michigan 48275

Signed: David Mason
Date Signed: 12/01/2021

FORM TEXT-1

(End FEC FORM 1)

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