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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1301840

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1. SAFARI CLUB INTERNATIONAL PAC (SCI-PAC)

    4800 W GATES PASS ROAD
    TUCSON, AZ 857459600
    Email: nbolt@safariclub.org;kswanberg@safariclub.org

    NOTE: Email address is different than previously reported

2. Date: 12/19/2018

3. FEC Committee ID #: C00122101 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

Safari Club International
501 2nd Street NE
Washington, DC 200024916
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Nathan Bolt
4800 W Gates Pass Road
Tucson, AZ 85745
Title: Treasurer
Phone # (520) 620-1220

Treasurer:

Nathan Bolt
4800 W Gates Pass Road
Tucson, Arizona 85745
Title: Treasurer
Phone # (520) 620-1220

Designated Agent(s):

Kimberly Swanberg
4800 W. Gates Pass Rd
Tucson, Arizona 85745
Title: Assistant Treasurer
Phone # (520) 620-1220

Banks or Depositories

Wells Fargo
150 N Stone Ave
Tucson, Arizona 85701

Signed: Nathan Bolt
Date Signed: 12/19/2018

(End FEC FORM 1)

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