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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-498919

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1. Koch Industries Inc Political Action Committee (KOCHPAC)

    600 14th Street, NW
    Suite 800
    Washington, DC 20005
    Email: kochpac@kochind.com

2. Date: 10/12/2010

3. FEC Committee ID #: C00236489 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

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

Custodian of Records:

Treasurer:

Lacye R Tennille
600 14th Street, NW
Suite 800
Washington, DC 20005
Title: Political Director
Phone # (202) 737-1977

Designated Agent(s):

Philip Ellender
133 Peachtree St NE
Atlanta, Georgia 303031801
Title: Assistant Treasurer
Phone # (404) 652-5097

Banks or Depositories

InTrust
3801 North Rock Road
Wichita, Kansas 67220

Signed: Lacye R Tennille
Date Signed: 10/12/2010

(End FEC FORM 1)

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