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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1077859

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1. Amsted Industries Incorporated PAC

    Two Prudential Plaza
    180 North Stetson Ave STE 1800
    Chicago, IL 60601
    Email: mfranson@amsted.com;rozanic@amsted.com

2. Date: 06/10/2016

3. FEC Committee ID #: C00438358 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

Amsted Industries Incorporated
Two prudential Plaza
180 N Stetson, Suite 1800
Chicago, Illinois 60601
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Marilyn Franson
Two Prudential Plaza
180 N Stetson Avenue, Suite 1800
Chicago, IL 60601
Title: Treasurer &Secretary
Phone # (312) 819-8450

Treasurer:

Marilyn Franson
Two Prudential Plaza
180 N Stetson Avenue, Suite 1800
Chicago, Illinois 60601
Title: Treasurer &Secretary
Phone # (312) 819-8450

Designated Agent(s):

Shirley J Whitesell
Two Prudential Plaza
180 N Stetson Avenue, Suite 1800
Chicago, Illinois 60601
Title: Assistant Treasurer
Phone # (312) 819-8515

Banks or Depositories

Wells Fargo
PO Box 3488
Portland, Oregon 97208

Signed: Marilyn F Franson
Date Signed: 06/16/2016

(End FEC FORM 1)

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