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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1572125

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1. National Shooting Sports Foundation, Inc. Political Action Committee (NSSF PAC)

    400 N. Capitol Street NW
    Suite 475
    Washington, DC 200011593
    Email: lwhite@nssf.org;PACServices@ddcpublicaffairs.com

2. Date: 02/28/2022

3. FEC Committee ID #: C00480863 This committee is a separate segregated fund. Its connected organization is a Trade Association
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

National Shooting Sports Foundation, Inc.
11 Mile Hill Rd
Newtown, Connecticut 064702328
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Liza White
400 N. Capitol Street NW
Suite 475
Washington, DC 200011593
Title: Custodian of Records
Phone # (804) 475-5372

Treasurer:

Lawrence G. Keane
400 N. Capitol Street NW
Suite 475
Washington, DC 200011593
Title: Treasurer
Phone # (203) 526-6773

Designated Agent(s):

Patrick Rothwell
400 N. Capitol Street NW
Suite 475
Washington, DC 20001
Title: Assistant Treasurer
Phone # (202) 220-1340

Patrick Rothwell
400 N. Capitol Street NW
Suite 475
Washington, DC 20001
Title: Assistant Treasurer
Phone # (202) 220-1340

Banks or Depositories

Chain Bridge Bank
1445-A Laughlin Avenue
McLean, Virginia 22101

Signed: Lawrence G. Keane
Date Signed: 02/28/2022

FORM TEXT-1

(End FEC FORM 1)

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