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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1216138

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1. Altice USA PAC

    NOTE:Commmittee Name is different than previously reported

    One Court Square
    49th Fl. Government Affairs Dept.
    Long Island City, NY 11120

    NOTE: Address is different than previously reported

    Email: Laura.Jordan@alticeusa.com

    NOTE: Email address is different than previously reported

2. Date: 07/06/2016

3. FEC Committee ID #: C00197863 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

Altice USA
One Court Square
49th Fl. Government Affairs Dept.
Long Island City, New York 11120
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Laura Jordan
One Court Square
49th Fl. Government Affairs Dept.
Long Island City, NY 11120
Title: Custodian of Records
Phone # (516) 803-2300

Treasurer:

Lee Schroeder
One Court Square
49th Fl. Government Affairs Dept.
Long Island City, New York 11120
Title: Treasurer
Phone # (516) 803-2300

Designated Agent(s):

Laura Jordan
One Court Square
49th Fl. Government Affairs Dept.
Long Island City, New York 11120
Title: Assistant Treasurer
Phone # (516) 803-2300

Banks or Depositories

JP Morgan Chase Bank, N.A
PO Box 659754
San Antonio, Texas 78265

Signed: Lee Schroeder
Date Signed: 03/28/2018

(End FEC FORM 1)

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