FEC Form 1 for Smiths Group Services Corporation Political Action Committee (Smiths PAC)Form 1 for Smiths Group Services Corporation Political Action Committee (Smiths PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-860888

1. Smiths Group Services Corporation Political Action Committee (Smiths PAC)

425 Third Street SW
Suite 875
Washington, DC 20024
Email: meredith.gibbons@smiths.com;sarah.riegner@smiths.com

2. Date: 03/11/2013

3. FEC Committee ID #: C00448324 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Treasurer:

Meredith Gibbons
425 3rd St. SW
Suite 875
Washington, DC 200243237
Title: Treasurer

Designated Agent(s):

Meredith Gibbons
425 3rd St. SW
Suite 875
Washington, DC 200243237
Title: Treasurer

Banks or Depositories

Wachovia Bank, N.A.
, ____

Signed: Meredith Gibbons
Date Signed: 03/15/2013

(End FEC FORM 1)

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