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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1214119

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1. Herbalife International Inc. PAC

    555 12th Street NW
    Suite 670
    Washington, DC 20004

    NOTE: Address is different than previously reported

    Email: psherman@ddcpublicaffairs.com

2. Date: 03/15/2018

3. FEC Committee ID #: C00393298 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

Herbalife International Inc.
800 W. Olympic Blvd
Los Angeles, California 90015
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Alan Hoffman
800 W. Olympic Blvd.
Suite 406
Los Angeles, CA 90015
Title: Custodian of Records
Phone # (310) 410-9600

Treasurer:

Randall Popelka
555 12th Street NW
Suite 670
Washington, DC 20004
Title: Treasurer
Phone # (202) 330-4224

Designated Agent(s):

Angela Arboleda
555 12th Street NW
Suite 670
Washington, DC 20004
Title: Assistant Treasurer
Phone # (202) 330-4221

Banks or Depositories

Chain Bridge Bank
1445-A Laughlin Avenue
McLean, Virginia 22101

Signed: Randall Popelka
Date Signed: 03/16/2018

(End FEC FORM 1)

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