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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1026650

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1. Jacobs Good Government Fund of Jacobs Engineering Group Inc.

    155 North Lake Ave.
    Pasadena, CA 91101
    Email: dan.shelhamer@jacobs.com

2. Date: 10/02/2015

3. FEC Committee ID #: C00142299 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Jacobs Engineering Group Inc.
115 North Lake Ave.
Pasadena, California 91101
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Geoff Sanders
155 North Lake
Pasadena, CA 91105
Phone # (626) 578-3500

Treasurer:

Geoff Sanders
155 North Lake Ave.
Pasadena, California 91101

Designated Agent(s):

Michael Carlin
155 North Lake Ave.
Pasadena, California 91101
Title: Treasurer
Phone # (626) 578-3500

Banks or Depositories

Wells Fargo Bank
82 South Lake Avenue
Pasadena, California 91101

Signed: Geoff Sanders
Date Signed: 10/02/2015

FORM TEXT-1

(End FEC FORM 1)

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