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FEC Form 1 for Broadridge Financial Solutions PACForm 1 for Broadridge Financial Solutions PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-835924


1. Broadridge Financial Solutions PAC

    1981 Marcus Ave
    Lake Success, NY 10041
    Email: Steve.Rosenthal@Broadridge.com

    NOTE: 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 Corporation

Affiliated Committees/Organizations

Broadridge Financial Solutions
1981 Marcus Ave
Lake Success, New York 11042
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Steven J Rosenthal
1981 Marcus Ave.
Lake Success, NY 11042
Title: Treasurer
Phone # (516) 472-5332

Treasurer:

Steven J Rosenthal
1981 Marcus Ave.
Lake Success, New York 11042
Title: Treasurer
Phone # (516) 472-5332

Designated Agent(s):

Charles Callan
205 River Road
Grandview, New York 10960

Banks or Depositories

Wells Fargo Bank NA
90 South 7th Street
Minneapolis, Minnesota 55402

Signed: Steven J Rosenthal
Date Signed: 11/29/2012

FORM TEXT

(End FEC FORM 1)


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