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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-922381

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1. Financial Services Roundtable PAC

    600 13th Street, N.W.
    Suite 400
    Washington, DC 200053005

    NOTE: Address is different than previously reported

    Email: Francis.Creighton@FSRoundtable.org;George.Forsberg@FSRoundtable.org

2. Date: 04/01/2014

3. FEC Committee ID #: C00193177 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

Financial Services Roundtable, The
1001 Pennsylvania Ave NW
Washington, DC 200042502
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Francis Creighton
600 13th Street NW
Suite 400
Washington, DC 200053005
Title: Treasurer
Phone # (202) 289-4322

Designated Agent(s):

George D Forsberg
1001 Pennsylvania Ave NW
Ste 500
Washington, DC 200042508
Title: Assistant Treasurer
Phone # (202) 589-2403

Banks or Depositories

Bank of America
1001 Pennsylvania Ave, NW
Washington, DC 20004

Signed: Francis Creighton
Date Signed: 04/24/2014

FORM TEXT

(End FEC FORM 1)

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