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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-993616

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1. JELD-WEN, inc. Employee Political Action Committee

    1631 NW Thurman Street, Suite 400
    Portland, OR 97209

    NOTE: Address is different than previously reported

    Email: dancr@jeld-wen.com

    NOTE: Email address is different than previously reported

2. Date: 02/13/2015

3. FEC Committee ID #: C00469825 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

JELD-WEN, inc.
P.O. Box 1329
3250 Lakeport Blvd.
Klamath Falls, Oregon 97601
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Dan Crenshaw
401 Harbor Isles Boulevard
Klamath Falls, OR 97601
Title: Manager
Phone # (541) 882-3451

Treasurer:

Dan Crenshaw
401 Harbor Isles Boulevard
Klamath Falls, Oregon 97601
Title: Manager
Phone # (541) 882-3451

Designated Agent(s):

Michelle Halle
1631 NW Thurman Street, Suite 400
Portland, Oregon 97209
Title: Manager
Phone # (503) 478-4463

Banks or Depositories

Key Bank
200 SW Market St, L100
Portland, Oregon 97201

Signed: Dan Crenshaw
Date Signed: 02/13/2015

(End FEC FORM 1)

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