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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-899314

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1. Kleinfelder Group Political Action Committee

    5015 Shoreham Place
    San Diego, CA 92122
    Email: kleinfelder@electioncompliance.com

    NOTE: Email address is different than previously reported

2. Date: 12/17/2013

3. FEC Committee ID #: C00463943 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Kleinfelder Group
5015 Shoreham Place
San Diego, California 92122
Affiliated Relationship Code: Connected Organization

Custodian of Records:

PAC Outsourcing LLC
5845 Richmond Highway
Alexandria, VA 22303
Title: Custodian of Records
Phone # (703) 347-6551

Treasurer:

William Siegel
5015 Shoreham Place
San Diego, California 92122
Title: CEO
Phone # (858) 320-2000

Designated Agent(s):

Joni Powell
313 E Broad Street
Palmyra, New Jersey 08065
Title: Assistant Treasurer
Phone # (856) 786-7171

Banks or Depositories

US Bank
4747 Executive Drive
San Diego, California 92121

Signed: William Siegel
Date Signed: 12/17/2013

(End FEC FORM 1)

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