FEC Form 1 for Bally Technologies Inc. Federal PACForm 1 for Bally Technologies Inc. Federal PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-986827

1. Bally Technologies Inc. Federal PAC

6601 South Bermuda Road
Las Vegas, NV 89119
Email: dwheeler@ballytech.com

2. Date: 01/26/2015

3. FEC Committee ID #: C00454017 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Committee ID# C00454017
Bally Technologies Inc.
6601 South Bermuda Road
Las Vegas, Nevada 89119
Affiliated Relationship Code: Connected Organization

McAndrews and Forbes Holdings Inc. Pol
35 East 62nd Street
New York, New York 10065
Affiliated Relationship Code: Affiliated Committee

AM General Sales Corporation PAC
105 N. Niles Avenue
South Bend, Indiana 46617
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Evan Knisely
900 7th Street NW Suite 970
Washington, DC 20001
Title: Custodian of Records
Phone # (202) 449-6981

Treasurer:

Evan Knisely
900 7th Street NW Suite 970
Washington, DC 20001
Title: Treasurer
Phone # (202) 449-6981

Designated Agent(s):

Banks or Depositories

Bank of America
300 South Fourth Street
Las Vegas, Nevada 89119

Signed: Evan Knisely
Date Signed: 01/26/2015

FORM TEXT-1

(End FEC FORM 1)

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