FEC Form 1 for Siemens Corporation Political Action CommitteeForm 1 for Siemens Corporation Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-516010

1. Siemens Corporation Political Action Committee

601 Pennsylvania Avenue, NW
11th Floor, North Building
Washington, DC 20004
Email: slming@comerica.com

2. Date: 11/12/2010

3. FEC Committee ID #: C00353797 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

Siemens Corporation
153 East 53rd Street
New York, New York 10022
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Comerica Bank, PAC Services
P.O. Box 75000
MC 2250
Detroit, MI 482752250
Title: Recordkeeper
Phone # (248) 371-7268

Treasurer:

Kathleen Ambrose
601 Pennsylvania Avenue, NW
11th Floor, North Building
Washington, DC 20004
Title: Sr. VP, Govt Affairs
Phone # (202) 434-4800

Designated Agent(s):

Banks or Depositories

Comerica Bank
P.O. Box 75000
MC 2250
Detroit, Michigan 482752250

Signed: Kathleen Ambrose
Date Signed: 11/12/2010

(End FEC FORM 1)

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