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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-741045

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1. Duchossois Group PAC

    845 Larch Avenue
    Elmhurst, IL 60126
    Email: acalderon@duch.com

    NOTE: Email address is different than previously reported

2. Date: 08/09/2011

3. FEC Committee ID #: C00212308 This committee is a separate segregated fund. Its connected organization is a Corporation W/O Capital Stock

Affiliated Committees/Organizations

The Duchossois Group
845 Larch Avenue
Elmhurst, Illinois 60126
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Ms Anne Marie Calderon
845 Larch Avenue
Elmhurst, IL 60126
Title: Admin. Asst.
Phone # (630) 516-6704

Treasurer:

Michael E. Flannery
521 Wood Road
Oak Brook, Illinois 60523
Title: EVP & CFO
Phone # (630) 530-6107

Designated Agent(s):

Colleen O'Connor
1315 Saddlebrook Road
Bartlett, Illinois 60103
Title: VP & Treasurer
Phone # (630) 530-6848

Banks or Depositories

Bank of America
540 West Madison Street
Chicago, Illinois 60661

Signed: Michael E. Flannery
Date Signed: 08/09/2011

(End FEC FORM 1)

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