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FEC Form 1 for FMR LLC Political Action Committee State-Federal (Fidelity PAC)Form 1 for FMR LLC Political Action Committee State-Federal (Fidelity PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1040985


1. FMR LLC Political Action Committee State-Federal (Fidelity PAC)

    200 Seaport Boulevard
    V9B
    Boston, MA 02210

    NOTE: Address is different than previously reported

    Email: fidelitypac@fmr.com

2. Date: 01/20/2016

3. FEC Committee ID #: C00215046 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

FMR LLC
200 Seaport Boulevard
V9B
Boston, Massachusetts 02210
Affiliated Relationship Code: Connected Organization

FMR LLC Political Action Committee - F
200 Seaport Boulevard, V9B
Boston, Massachusetts 02210
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Karen Kennedy
200 Seaport Boulevard, V9B
Boston, MA 02210
Title: Custodian of Records
Phone # (617) 563-2631

Treasurer:

Kathryn Dunn
200 Seaport Boulevard, Z1N
Boston, Massachusetts 02210
Title: Treasurer
Phone # (617) 563-9304

Designated Agent(s):

Helen Kafkas
200 Seaport Boulevard, Z1M1
Boston, Massachusetts 02210
Title: Assistant Treasurer
Phone # (617) 392-2908

Banks or Depositories

Bank of America
100 Federal Street
Boston, Massachusetts 02110

Signed: Kathryn Dunn
Date Signed: 01/20/2016

(End FEC FORM 1)


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