FEC Form 1 for II-VI Incorporated PACForm 1 for II-VI Incorporated PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-727579

1. II-VI Incorporated PAC

375 Saxonburg Boulevard
Saxonburg, PA 16056
Email: tchallingsworth@ii-vi.com

2. Date: 05/06/2011

3. FEC Committee ID #: C00377960 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Committee ID# C00377960
II-VI Incorporated PAC
375 Saxonburg Boulevard
Saxonburg, Pennsylvania 16056
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mr. Timothy A. Challingsworth
126 Village Drive
Cranberry Township, PA 16066
Title: Treasurer
Phone # (724) 352-5540

Treasurer:

Mr. Timothy A. Challingsworth
126 Village Drive
Cranberry Township, Pennsylvania 16066
Title: Treasurer
Phone # (724) 352-5540

Designated Agent(s):

John Almquist
208 Primrose Drive
Sarver, Pennsylvania 16055
Title: Assistant Treasurer
Phone # (724) 352-5275

Banks or Depositories

PNC Bank
620 South Pike Road
Sarver, Pennsylvania 16055

Signed: Mr. Timothy A. Challingsworth
Date Signed: 05/06/2011

(End FEC FORM 1)

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