FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1347576
1. Broadridge Financial Solutions PAC
5 Dakota DriveSuite 300
Lake Success, NY 10041
NOTE: Address is different than previously reported
Email: Steve.Rosenthal@Broadridge.com;shaun.seagriff@broadridge.comNOTE: Email address is different than previously reported
2. Date: 11/28/2012
3. FEC Committee ID #: C00478107 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
Broadridge Financial Solutions5 Dakota Drive
Suite 300
Lake Success, New York 11042
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Steven J Rosenthal5 Dakota Drive
Suite 300
Lake Success, NY 11042
Title: Treasurer
Phone # (516) 472-5332
Treasurer:
Steven J Rosenthal5 Dakota Drive
Suite 300
Lake Success, New York 11042
Title: Treasurer
Phone # (516) 472-5332
Designated Agent(s):
Shaun Seagriff5 Dakota Drive
Suite 300
Lake Success, New York 11042
Title: Treasury
Phone # (516) 350-4930
Banks or Depositories
Wells Fargo Bank NA90 South 7th Street
Minneapolis, Minnesota 55402