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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-739660

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1. Holland & Hart Federal PAC

    555 Seventeenth Street
    Suite 3200
    Denver, CO 80202
    Email: janeeson@hollandhart.com

    NOTE: Email address is different than previously reported

2. Date: 07/28/2011

3. FEC Committee ID #: C00137729 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

Holland & Hart LLP
555 17th Street
Suite 3200
Denver, Colorado 80202
Affiliated Relationship Code: Connected Organization

Custodian of Records:

STEPHEN VILLANO
201 LEYDEN STREET
DENVER, CO 80220
Title: Attorney
Phone # (303) 295-8000

Treasurer:

STEPHEN VILLANO
201 LEYDEN STREET
DENVER, Colorado 80220
Title: Attorney
Phone # (303) 295-8000

Designated Agent(s):

Banks or Depositories

Wells Fargo Bank
1050 17th Street
Ste 100
Denver, Colorado 80265

Signed: STEPHEN VILLANO
Date Signed: 07/29/2011

(End FEC FORM 1)

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