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FEC Form 1 for AVAYA INCORPORATED POLITICAL ACTION COMMITTEEForm 1 for AVAYA INCORPORATED POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-756999


1. AVAYA INCORPORATED POLITICAL ACTION COMMITTEE

    12730 Fair Lakes Circle Fair Lakes
    Fairfax, VA 22033

    NOTE: Address is different than previously reported

    Email: sszeremeta@avaya.com

    NOTE: Email address is different than previously reported

2. Date: 01/10/2012

3. FEC Committee ID #: C00363382 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Avaya Inc.
211 Mount Airy Road
Basking Ridge, New Jersey 07920
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Jennifer Edgecombe
56 Wainswright Circle
Rochester, NY 14626
Title: Financial Analysis M
Phone # (585) 509-1551

Treasurer:

Steve Szeremeta
12730 Fair Lakes Circle Fair Lakes
Fairfax, Virginia 22033
Title: General Counsel, Ava
Phone # (703) 279-3710

Designated Agent(s):

Steve Szeremeta
12730 Fair Lakes Circle Fair Lakes
Fairfax, Virginia 22033
Title: General Counsel Avay
Phone # (703) 279-3710

Banks or Depositories

Northern Trust Bank
50 South LaSalle
Chicago, Illinois 60675

Signed: Steve Szeremeta
Date Signed: 01/10/2012
Official Committee URL: www.avaya.com

FORM TEXT

(End FEC FORM 1)


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