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FEC Form 1 for Rolls-Royce North America Holdings Inc. PAC (Rolls-Royce North America PAC)Form 1 for Rolls-Royce North America Holdings Inc. PAC (Rolls-Royce North America PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-755505


1. Rolls-Royce North America Holdings Inc. PAC (Rolls-Royce North America PAC)

    1875 Explorer Street, Suite 200
    Reston, VA 20190
    Email: Susan.Ralph@rolls-royce.com

2. Date: 12/19/2011

3. FEC Committee ID #: C00296822 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

Rolls-Royce North America Holdings Inc.
1875 Explorer Street, Suite 200
Reston, Virginia 20190
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Susan Ralph
1875 Explorer Street, Suite 200
Reston, VA 20190
Title: Treasurer
Phone # (703) 621-2711

Treasurer:

Susan Ralph
1875 Explorer Street, Suite 200
Reston, Virginia 20190
Title: Treasurer
Phone # (703) 621-2711

Designated Agent(s):

Banks or Depositories

PNC Bank
808 17th Street,
8th Floor
Washington, DC 20006

Signed: Susan Ralph
Date Signed: 12/19/2011

(End FEC FORM 1)


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