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FEC Form 1 for H&R Block Inc. Political Action Committee (BLOCKPAC)Form 1 for H&R Block Inc. Political Action Committee (BLOCKPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-751471


1. H&R Block Inc. Political Action Committee (BLOCKPAC)

    One H&R Block Way
    Kansas 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 Corporation
     In 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 Gill
One H&R Block Way
Kansas City, MO 64105
Title: Custodian
Phone # (816) 854-4250

Treasurer:

Erin Gill
One H&R Block Way
Kansas City, Missouri 64105
Title: Treasurer
Phone # (816) 854-4250

Designated Agent(s):

Banks or Depositories

Bank of America
P.O. Box 798
Wichita, Kansas 67201

Signed: Erin Gill
Date Signed: 11/01/2011

FORM TEXT

(End FEC FORM 1)


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