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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1075100

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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: 05/01/9872

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:

Michael Carlin
155 North Lake
Pasadena, CA 91101
Phone # (626) 578-3500

Treasurer:

Michael Carlin
155 North Lake Ave.
Pasadena, California 91101

Designated Agent(s):

Alex Martinez
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: Michael Carlin
Date Signed: 05/27/2016

FORM TEXT-1

(End FEC FORM 1)

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