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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-861636

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1. GTECH Corporation Political Action Committee

    10 Memorial Blvd.
    Providence, RI 02903
    Email: jessie.reniere@gtech.com

    NOTE: Email address is different than previously reported

2. Date: 03/19/2013

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

Affiliated Committees/Organizations

GTECH Corporation
10 Memorial Boulevard
Providence, Rhode Island 02903
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Michael Mello
c/o PASS
1950 Roland Clarke Pl. Ste 300
Reston, VA 20191
Title: Custodian
Phone # (401) 392-1000

Treasurer:

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

Designated Agent(s):

Jessie Reniere
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: 03/19/2013
Official Committee URL: None

FORM TEXT

(End FEC FORM 1)

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