FEC Form 1 for Barrick Gold of North America Inc. Employees PAFForm 1 for Barrick Gold of North America Inc. Employees PAF

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-429661

1. Barrick Gold of North America Inc. Employees PAF

136 E. South Temple St.
Suite 1300
Salt Lake City, UT 84111
Email: CFS@PASS1.com

2. Date: 08/14/2009

3. FEC Committee ID #: C00320580 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

Barrick Gold of North America Inc.
136 East South Temple St.
Suite 1300
Salt Lake City, Utah 84111
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Richie Haddock
136 E. South Temple St.
Suite 1300
Salt Lake City, UT 84111
Title: VP/General Counsel
Phone # (801) 990-3773

Treasurer:

Be-Be Adams
136 East South Temple St.
Suite 1300
Salt Lake City, Utah 84111
Title: Treasurer
Phone # (801) 560-7084

Designated Agent(s):

Banks or Depositories

Nevada State Bank
P.O. Box 990
Las Vegas, Nevada 89125

Signed: Be-Be Adams
Date Signed: 08/14/2009
Official Committee URL: N/A

FORM TEXT

(End FEC FORM 1)

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