FEC Form 1 for QinetiQ North America, Inc. Political Action Committee (a.k.a. QinetiQ PAC)Form 1 for QinetiQ North America, Inc. Political Action Committee (a.k.a. QinetiQ PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-802365

1. QinetiQ North America, Inc. Political Action Committee (a.k.a. QinetiQ PAC)

7918 Jones Branch Drive
Suite 350
McLean, VA 22102
Email: zpacs@cox.net

2. Date: 08/01/2012

3. FEC Committee ID #: C00383992 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

QinetiQ North America, Inc.
7918 Jones Branch Drive
Suite 350
McLean, Virginia 22102
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Zelda M. Shute
7845 Midday Lane
Alexandria, VA 22306
Title: Custodian of Records
Phone # (703) 768-3903

Treasurer:

Deborah Fox
7918 Jones Branch Drive
Suite 350
McLean, Virginia 22102
Title: Treasurer
Phone # (703) 752-6519

Designated Agent(s):

Scott Klein
7918 Jones Branch Drive
Suite 350
McLean, Virginia 22102
Title: Assistant Treasurer
Phone # (703) 752-6529

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-802365

1. QinetiQ North America, Inc. Political Action Committee (a.k.a. QinetiQ PAC)

2. Date: 08/01/2012

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Deborah Fox
Date Signed: 08/01/2012

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-802365

1. QinetiQ North America, Inc. Political Action Committee (a.k.a. QinetiQ PAC)

2. Date: 08/01/2012

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Deborah Fox Date Signed: 08/01/2012

(End FEC FORM 1)

Signed: Deborah Fox
Date Signed: 08/01/2012