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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1143175

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1. CNG Holdings, Inc. PAC

    NOTE:Commmittee Name is different than previously reported

    7755 Montgomery Road
    Suite 400
    Cincinnati, OH 45236
    Email: dkessen@cngholdings.com

    NOTE: Email address is different than previously reported

2. Date: 01/30/2017

3. FEC Committee ID #: C00441311 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

CNG Holdings, Inc.
7755 Montgomery Road
Suite 400
Cincinnati, Ohio 45236
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Deborah Ann Kessen
7755 Montgomery Road
Suite 400
Cincinnati, OH 45236
Title: Treasurer
Phone # (513) 229-6620

Treasurer:

Deborah Ann Kessen
7755 Montgomery Road
Suite 400
Cincinnati, Ohio 45236
Title: Treasurer
Phone # (513) 229-6620

Designated Agent(s):

Meredith Fossett
7755 Montgomery Road
Suite 400
Cincinnati, Ohio 45236
Title: Assistant Treasurer
Phone # (513) 229-6647

Banks or Depositories

US Bank
7739 Montgomery Road
Cincinnati, Ohio 45236

Signed: Deborah Ann Kessen
Date Signed: 01/30/2017

(End FEC FORM 1)

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