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FEC Form 1 for Google Inc. NetPACForm 1 for Google Inc. NetPAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-715775


1. Google Inc. NetPAC

    1101 New York Ave NW
    Second Floor
    Washington, DC 20005
    Email: googlenetpac@google.com

2. Date: 02/24/2011

3. FEC Committee ID #: C00428623 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

Google, Inc.
1600 Amphitheatre Parkway
Mountain View, California 94043
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Johanna Shelton
1101 New York Ave NW
Second Floor
Washington, DC 20005
Title: Custodian of Records
Phone # (202) 346-1100

Treasurer:

Johanna Shelton
1101 New York Ave NW
Second Floor
Washington, DC 20005
Title: Treasurer
Phone # (202) 346-1100

Designated Agent(s):

Pablo Chavez
1101 New York Avenue, NW
Second Floor
Washington, DC 20005
Title: Assistant Treasurer
Phone # (202) 346-1100

Banks or Depositories

Wells Fargo Bank
Peninsula RCBO
400 Hamilton Ave
Palo Alto, California 94301

Signed: Johanna Shelton
Date Signed: 02/24/2011

(End FEC FORM 1)


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