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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-973858

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1. AM GENERAL SALES CORPORATION PAC

    105 N Niles Avenue
    South Bend, IN 46617
    Email: frank.berger@amgeneral.com

2. Date: 11/25/2014

3. FEC Committee ID #: C00282210 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

AM General Sales Corporation
105 N. Niles Ave
South Bend, Indiana 46617
Affiliated Relationship Code: Connected Organization

MacAndrews & Forbes Holdings Inc. Poli
35 East 62nd Street
New York, New York 10065
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00454017
BALLY TECHNOLOGIES INC. FEDERAL PAC
6601 SOUTH BERMUDA ROAD
LAS VEGAS, Nevada 89119
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Mr. Frank Berger
105 North Niles Avenue
South Bend, IN 46617
Title: Treasurer
Phone # (574) 284-2877

Treasurer:

Mr. Frank Berger
105 North Niles Avenue
South Bend, Indiana 46617
Title: Treasurer
Phone # (574) 284-2877

Designated Agent(s):

Banks or Depositories

1st Source Bank
PO Box 1602
South Bend, Indiana 46634

Signed: Mr. Frank Berger
Date Signed: 11/25/2014

(End FEC FORM 1)

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