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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1095630

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1. Humane Society Legislative Fund Political Action Committee

    1255 23rd Street, NW
    Suite 455
    Washington, DC 20037

    NOTE: Address is different than previously reported

    Email: samundson@hslf.org;Outsourcing@Aristotle.com

2. Date: 08/18/2016

3. FEC Committee ID #: C00466813 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Humane Society Legislative Fund
1255 23rd Street, NW
Ste 455
Washington, DC 200371125
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Aristotle International
205 Pennsylvania Ave SE
Washington, DC 200031164
Title: Custodian of Records

Treasurer:

Sara J. Amundson
1255 23rd Street, NW
Ste 455
Washington, DC 200371125
Title: Treasurer
Phone # (202) 676-2341

Designated Agent(s):

Banks or Depositories

Wells Fargo
215 Pennsylvania Avenue, SE
Washington, DC 20003

Signed: Sara J. Amundson
Date Signed: 08/19/2016

(End FEC FORM 1)

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