FEC Form 1 for CenturyLink Inc. Employees Political Action CommitteeForm 1 for CenturyLink Inc. Employees Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-934136

1. CenturyLink Inc. Employees Political Action Committee

1099 New York Avenue NW
Suite 250
Washington, DC 20001
Email: brian.adkins@centurylink.com

2. Date: 06/20/2014

3. FEC Committee ID #: C00419911 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

CenturyLink Inc.
100 CenturyLink Drive
Monroe, Louisiana 71203
Affiliated Relationship Code: Connected Organization

QWEST COMMUNICATIONS INTERNATIONAL INC
1099 NEW YORK AVENUE NW
SUITE 250
WASHINGTON, DC 20001
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Cheryl Rudeen
1314 Douglas Street
13 Floor
Omaha, NE 68102
Title: Custodian of Records
Phone # (402) 422-2867

Treasurer:

Brian Adkins
1099 New York Avenue NW
Washington, DC 20001
Title: Treasurer
Phone # (202) 429-3110

Designated Agent(s):

Mr. Scott Kissau
116 W. Century Road
Maple City, Michigan 49664
Title: Assistant Treasurer
Phone # (231) 228-5201

Banks or Depositories

Bank of America
P.O. Box 25118
Tampa, Florida 336225118

Capital One Bank
1804 N 18th St
Monroe, Louisiana 71201

Signed: Brian Adkins
Date Signed: 06/20/2014

(End FEC FORM 1)

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