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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-810555

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1. Woolpert, Inc. PAC

    4454 Idea Center Blvd.
    Dayton, OH 45430
    Email: jrhill@comerica.com

    NOTE: Email address is different than previously reported

2. Date: 09/19/2012

3. FEC Committee ID #: C00479899 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Woolpert, Inc.
4454 Idea Center Blvd.
Dayton, Ohio 45430
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Comerica Bank PAC Services
P.O. Box 75000
MC2250
Detroit, MI 482752250
Title: Recordkeeper
Phone # (248) 371-6515

Treasurer:

Josh Heid
4454 Idea Center Blvd.
Dayton, Ohio 45430
Title: Treasurer
Phone # (937) 531-1436

Designated Agent(s):

Banks or Depositories

Comerica Bank
P.O. Box 75000
Detroit, Michigan 48275

Signed: Josh Heid
Date Signed: 09/19/2012

(End FEC FORM 1)

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