FEC Form 1 for Koch Industries Inc Political Action Committee (KOCHPAC)Form 1 for Koch Industries Inc Political Action Committee (KOCHPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-194828

1. Koch Industries Inc Political Action Committee (KOCHPAC)

655 15th Street NW Suite 445
Washington, DC 20005
Fax: 2027378111

2. Date: 12/28/2005

3. FEC Committee ID #: C00236489 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Koch Industries Inc.
4111 East 37th Street North
Wichita, Kansas 67220
Relationship: Connected
Organization Type: Corporation

G-P Employees Fund of Georgia-Pacific
1120 G Street NW
Suite 1050
Washington, DC 20005
Relationship: Affiliated Committee
Organization Type: Corporation

Custodian of Records:

Lacye R. Tennille
655 15th Street Suite 445
Washington, DC 20005
Title: Treasurer
Phone # (202) 879-8541

Treasurer:

Lacye R. Tennille
655 15th Street NW
Suite 445
Washington, DC 20005
Title: Treasurer
Phone # (202) 879-8541

Designated Agent(s):

Matt Schlapp
655 15th Street NW
Suite 445
Washington, DC 20005
Title: Asst. Treasurer
Phone # (202) 737-1977

Banks or Depositories

InTrust Bank
3801 North Rock Road
Wichita, Kansas 67220

Signed: Lacye R. Tennille
Date Signed: 12/28/2005
Official Committee FAX: 2027378111

(End FEC FORM 1)

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