FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-751471
1. H&R Block Inc. Political Action Committee (BLOCKPAC)
One H&R Block WayKansas City, MO 64105
Email: Brian.donohue@hrblock.com
NOTE: Email address is different than previously reported
2. Date: 11/01/2011
3. FEC Committee ID #: C00188177 This committee is a separate segregated fund. Its connected organization is a CorporationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
H&R Block Inc.One H&R Block Way
Kansas City, Missouri 64105
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Erin GillOne H&R Block Way
Kansas City, MO 64105
Title: Custodian
Phone # (816) 854-4250
Treasurer:
Erin GillOne H&R Block Way
Kansas City, Missouri 64105
Title: Treasurer
Phone # (816) 854-4250
Designated Agent(s):
Banks or Depositories
Bank of AmericaP.O. Box 798
Wichita, Kansas 67201