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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1160347

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1. Komatsu Mining Corp. Political Action Committee

    NOTE:Commmittee Name is different than previously reported

    135 South 84th St.
    Suite 300
    Milwaukee, WI 53214

    NOTE: Address is different than previously reported

    Email: jrhill@comerica.com

2. Date: 04/25/2017

3. FEC Committee ID #: C00334581 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Komatsu Mining Corp.
135 South 84th St.
Suite 300
Milwaukee, Wisconsin 53214
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Comerica Bank PAC Services
P.O. Box 75000
MC2250
Detroit, MI 482752250
Title: Recordkeeper
Phone # (248) 371-7268

Treasurer:

Patti J. Effertz
135 South 84th Street
Suite 300
Milwaukee, Wisconsin 53214
Title: PAC Treasurer
Phone # (414) 670-7589

Designated Agent(s):

Calvin A. Berlin
P.O. Box 554
Milwaukee, Wisconsin 53201
Title: PAC Asst Treasurer
Phone # (414) 670-7663

Banks or Depositories

Comerica Bank
P.O. Box 75000
Detroit, Michigan 48275

Signed: Patti J. Effertz
Date Signed: 04/25/2017

FORM TEXT-1

(End FEC FORM 1)

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