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FEC Form 1 for Wells Fargo and Company North Carolina Employees Good Government FundForm 1 for Wells Fargo and Company North Carolina Employees Good Government Fund

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-772426


1. Wells Fargo and Company North Carolina Employees Good Government Fund

    301 South College Street
    Charlotte, NC 282880024
    Email: kai.c.bjerkness@wellsfargo.com

2. Date: 03/28/2012

3. FEC Committee ID #: C00429852 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

Wells Fargo and Company
Sixth & Marquette
MAC N9305-084
Minneapolis, Minnesota 55479
Affiliated Relationship Code: Connected Organization

Committee ID# C00034595
Wells Fargo and Company Employee PAC (
Sixth and Marquette
MAC N9305-084
Minneapolis, Minnesota 55479
Affiliated Relationship Code: Affiliated Committee

Wells Fargo and Company Employees Good
301 South College Street
Charlotte, North Carolina 282880024
Affiliated Relationship Code: Affiliated Committee

Wells Fargo and Company Employees Good
301 South College Street
Charlotte, North Carolina 282880024
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Kai C. Bjerkness
Wells Fargo Center
Sixth & Marquette
Minneapolis, MN 55479
Title: Assistant Treasurer
Phone # (612) 316-3857

Treasurer:

Scott Champion
301 S. College Street
Charlotte, North Carolina 28288
Title: Treasurer
Phone # (704) 383-1664

Designated Agent(s):

Kai C. Bjerkness
Sixth & Marquette
MAC N9305-084
Minneapolis, Minnesota 55479
Title: Assistant Treasurer
Phone # (612) 316-3857

Banks or Depositories

Wells Fargo Bank, N.A.
301 South College St.
Charlotte, North Carolina 28288

Signed: Mr. Scott Champion
Date Signed: 03/28/2012

(End FEC FORM 1)


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