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-875278

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

11091 Sunset Hills Road
Suite 600
Reston, VA 20190

NOTE: Address is different than previously reported

Email: zpacs@cox.net

2. Date: 06/28/2013

3. FEC Committee ID #: C00383992 This committee is a separate segregated fund. Its connected organization is a Corporation

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
11091 Sunset Hills Road
Suite 600
Reston, Virginia 20190
Title: Treasurer
Phone # (703) 480-5831

Designated Agent(s):

John Erwin
11091 Sunset Hills Road
Suite 600
Reston, Virginia 20190
Title: Assistant Treasurer
Phone # (703) 480-5825

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-875278

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

NOTE: Address is different than previously reported

2. Date: 06/28/2013

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Deborah Fox
Date Signed: 06/28/2013

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-875278

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

NOTE: Address is different than previously reported

2. Date: 06/28/2013

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Deborah Fox Date Signed: 06/28/2013

(End FEC FORM 1)

Signed: Deborah Fox
Date Signed: 06/28/2013