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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-894921

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1. Wal-Mart Stores Inc. PAC For Responsible Government

    702 S.W. 8th Street
    Bentonville, AR 727160150
    Email: Jennifer.Spall@wal-mart.com

    NOTE: Email address is different than previously reported

2. Date: 11/15/2013

3. FEC Committee ID #: C00093054 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

Wal-Mart Stores Inc.
702 S.W. 8th Street
Bentonville, Arkansas 727160150
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Jennifer Spall
702 S.W. 8th Street
Bentonville, AR 727160150
Title: Assistant Treasurer
Phone # (479) 721-9484

Treasurer:

R. Lee Culpepper
702 S.W. 8th Street
Bentonville, Arkansas 727160150
Title: Treasurer
Phone # (479) 277-2901

Designated Agent(s):

Jennifer Spall
702 S.W. 8th Street
Bentonville, Arkansas 727160150
Title: Assistant Treasurer
Phone # (479) 721-9484

Banks or Depositories

Arvest Bank
P.O. Box 1229
Bentonville, Arkansas 72712

Signed: R. Lee Culpepper
Date Signed: 11/15/2013

(End FEC FORM 1)

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