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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-845027

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1. G4S Secure Solutions (USA) PAC

    1395 University Drive
    Jupiter, FL 33458
    Email: richard.vanbenschoten@usa.g4s.com

    NOTE: Email address is different than previously reported

2. Date: 01/07/2013

3. FEC Committee ID #: C00165365 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

G4S Secure Solutions (USA)
1395 University Blvd.
Jupiter, Florida 33458
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Terence K Wood
4200 Wackenhut Drive
Palm Beach Gardens, FL 33410

Treasurer:

Richard Van Benschoten
1395 University Blvd
Jupiter, Florida 33458
Title: Treasurer
Phone # (561) 691-6495

Designated Agent(s):

Banks or Depositories

Bank of America
1401 Elm Street
Dallas, Texas 75202

Signed: Richard Van Benschoten
Date Signed: 01/07/2013

(End FEC FORM 1)

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