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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1026351

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1. First Citizens Bancshares, Inc. South Carolina Political Action Committee

    1230 Main Street
    Columbia, SC 29201
    Email: james.bennett@firstcitizens.com;kelli.hass@firstcitizens.com

    NOTE: Email address is different than previously reported

2. Date: 09/30/2015

3. FEC Committee ID #: C00406546 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

First Citizens BancShares Inc. Political Action Committee
4300 Six Forks Road
Raleigh, North Carolina 27609
Affiliated Relationship Code: Affiliated Committee

First Citizens BancShares, Inc.
4300 Six Forks Road
Raleigh, North Carolina 27609
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Kelli L. Hass
1230 Main Street
Columbia, SC 29201
Title: Registered Agent
Phone # (803) 931-1701

Treasurer:

James Bennett
110 Spring Valley Road
Columbia, South Carolina 29223
Title: Treasurer
Phone # (803) 931-8549

Designated Agent(s):

Jerue Hallman
1230 Main Street
Columbia, South Carolina 29201
Title: Assistant Treasurer
Phone # (803) 931-1947

Banks or Depositories

First Citizens Bank
1230 Main Street
Columbia, South Carolina 29201

Signed: James Bennett
Date Signed: 09/30/2015

(End FEC FORM 1)

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