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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-131209

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1. Simula Inc. Political Action Committee

    7822 South 46th Street
    Phoenix, AZ 85044

    NOTE: Address is different than previously reported

    Email: merrie.brown@simula.com

2. Date: 01/26/1998

3. FEC Committee ID #: C00332924 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Ms Merrie Brown
7822 South 46th Street
Phoenix, AZ 85044
Title: Executive Assistant
Phone # (602) 643-7410

Treasurer:

Mr. Mike Haerle
7822 South 46th Street
Phoenix, Arizona 85044
Title: VP Finance & Acctg.
Phone # (602) 643-7203

Designated Agent(s):

Ms Diana Sigrist
7822 South 46th Street
Phoenix, Arizona 85044
Title: Treasurer
Phone # (602) 643-7366

Banks or Depositories

Bank of America
201 E. Washington Street
Phoenix, Arizona 85004

Signed: Mr. Mike Haerle
Date Signed: 08/16/2004

(End FEC FORM 1)

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