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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-748060

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1. Genworth Financial Inc Political Action Committee

    6620 W. Broad Street
    Richmond, VA 23230
    Email: kristine.kilbride@genworth.com

    NOTE: Email address is different than previously reported

2. Date: 10/14/2011

3. FEC Committee ID #: C00404194 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

Genworth Financial Inc
6620 W. Broad Street
Richmond, Virginia 23230
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Amy Corbin
6620 W. Broad St., Bldng. 1
4th Flr.
Richmond, VA 23230
Title: Custodian
Phone # (804) 662-2685

Treasurer:

Amy Corbin
6620 W. Broad St., Bldng. 1
4th Flr.
Richmond, Virginia 23230
Title: Treasurer
Phone # (804) 662-2685

Designated Agent(s):

Tim Knieriem
8325 Six Forks Rd.
Raleigh, North Carolina 276156517
Title: Assistant Treasurer
Phone # (919) 870-2279

Banks or Depositories

Wachovia Bank
7101 West Broad Street
Richmond, Virginia 23294

Signed: Amy Corbin
Date Signed: 10/14/2011

FORM TEXT

(End FEC FORM 1)

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