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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1144311

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1. BHFS-E, PC PAC (Brownstein Hyatt Farber Schreck Political Action Committee)

    410 Seventeenth Street
    Suite 2200
    Denver, CO 80202
    Email: rkaufmann@bhfs.com;anave-worth@bhfs.com

    NOTE: Email address is different than previously reported

2. Date: 01/31/2017

3. FEC Committee ID #: C00390583 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

BHFS-E, PC, formerly known as Brownstein Hyatt Farber Schreck, P.C.
410 Seventeenth Street
Suite 2200
Denver, Colorado 80202
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Zachary Pfister
1155 F Street, NW
Suite 1200
Washington, DC 20004
Title: Custodian of Records
Phone # (202) 652-2345

Treasurer:

Robert Kaufmann
410 17th Street
Suite 2200
Denver, Colorado 80202
Title: Treasurer
Phone # (303) 223-1100

Designated Agent(s):

Alisa Nave-Worth
100 North City Parkway
Suite 1600
Las Vegas, Nevada 891064614
Title: Assistant Treasurer
Phone # (702) 464-7061

Banks or Depositories

MidFirst Bank
PO Box 76149
Oklahoma City, Oklahoma 73147

Signed: Robert Kaufmann
Date Signed: 01/31/2017

(End FEC FORM 1)

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