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FEC Form 1 for Key Energy Services Inc Political Action CommitteeForm 1 for Key Energy Services Inc Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-223711


1. Key Energy Services Inc Political Action Committee

    1301 McKinney Street Suite 1800
    Houston, TX 77010
    Email: pburch@keyenergy.com

2. Date: 11/18/2005

3. FEC Committee ID #: C00403105 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Key Energy Services Inc.
1301 McKinney Street
Suite 1800
Houston, Texas 77010
Relationship: Connected org
Organization Type: Corporation

Custodian of Records:

Phillip Burch
1301 McKinney Street
Suite 1801
Houston, TX 77010
Title: Treasurer
Phone # (713) 651-4300

Treasurer:

Phillip M. Burch
1301 McKinney Street
Suite 1800
Houston, Texas 77010
Title: Treasurer
Phone # (713) 651-4300

Designated Agent(s):

Valerie Cox
1301 McKinney Street
Suite 1800
Houston, Texas 77010
Title: Assistant Treasurer
Phone # (713) 651-4422

Banks or Depositories

PNC Bank
4000 Connecticut Avenue NW
Washington, DC 20008

Signed: Phillip M. Burch
Date Signed: 06/26/2006

(End FEC FORM 1)


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