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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1555970

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1. NCR CORPORATION POLITICAL ACTION COMMITTEE (NCRPAC)

    20 F St NW
    7th Floor
    Washington, DC 20001
    Email: patricia.toker@ncr.com

2. Date: 01/13/2022

3. FEC Committee ID #: C00324103 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

Committee ID# C00324103
NCR Corporation
864 Spring St., NW
Atlanta, Georgia 30308
Affiliated Relationship Code: Connected Organization

Committee ID# C00553495
CARDTRONICS INC POLITICAL ACTION COMMI
2050 W. Sam Houston Parkway South
Suite 1300
Houston, Texas 77042
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Patricia Toker
20 F St., NW
7th Floor
Washington, DC 20001
Title: PAC Manager
Phone # (202) 507-6230

Treasurer:

Justin W. Clay
864 Spring St., NW
Atlanta, Georgia 30308
Title: Treasurer
Phone # (770) 689-2286

Designated Agent(s):

Patricia Toker
20 F St., NW
7th Floor
Washington, DC 20001
Title: PAC Manager
Phone # (202) 507-6230

Banks or Depositories

JPMorgan Chase
100 East Broad Street
Floor 11
Columbus, Ohio 43215

Signed: Justin W. Clay
Date Signed: 01/13/2022

(End FEC FORM 1)

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