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-753941

1. Barrick Gold of North America Inc. Employees PAF

136 E. South Temple St. Ste. 1300
Salt Lake City, UT 84111
Email: fecinfo@pass1.com

NOTE: Email address is different than previously reported

2. Date: 12/01/2011

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 E. South Temple St. Ste. 1300
Salt Lake City, Utah 84111
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Richard Haddock
136 E. South Temple St. Ste 1300
Salt Lake City, UT 84111
Title: Custodian

Treasurer:

Be-Be Adams
136 E. South Temple St. Ste. 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: 12/01/2011
Official Committee URL: N/A

FORM TEXT

(End FEC FORM 1)

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