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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1293818

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1. IGT Global Solutions Corporation (IGT) PAC

    10 Memorial Blvd.
    Providence, RI 02903
    Email: fecinfo@pass1.com;Eve.Broffman@IGT.com

    NOTE: Email address is different than previously reported

2. Date: 12/03/2018

3. FEC Committee ID #: C00473025 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

IGT Global Solutions Corporation
10 Memorial Blvd.
Providence, Rhode Island 02903
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Michael Mello
10 Memorial Blvd.
Providence, RI 02903
Title: Custodian of Records
Phone # (401) 392-7227

Treasurer:

Michael Mello
10 Memorial Blvd.
Providence, Rhode Island 02903
Title: Treasurer
Phone # (401) 392-7227

Designated Agent(s):

Eve Broffman
10 Memorial Blvd.
Providence, Rhode Island 02903
Title: Assistant Treasurer
Phone # (401) 392-1000

Banks or Depositories

Burke & Herbert
100 South Fairfax Street
Alexandria, Virginia 22314

Signed: Michael Mello
Date Signed: 12/03/2018
Official Committee URL: None

FORM TEXT-1

(End FEC FORM 1)

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