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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-894022

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

    11 MILE HILL RD
    Newtown, CT 06470
    Email: NSSFPAC@NSSF.ORG;outsourcing@aristotle.com

2. Date: 10/31/2013

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 064702359
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Jeff Yue
11 Mile Hill Rd
Newtown, CT 064702359
Title: Custodian of Records
Phone # (203) 426-1320

Treasurer:

Lawrence Keane
PO Box 289
Newtown, Connecticut 064700289
Title: Treasurer
Phone # (203) 426-1320

Designated Agent(s):

John Smith
11 Mile Hill Road
Newtown, Connecticut 064702359
Title: Assistant Treasurer
Phone # (203) 426-1320

Banks or Depositories

Chase Bank
30 Church Hill Road
Newtown, Connecticut 06470

Signed: Lawrence Keane
Date Signed: 11/04/2013

FORM TEXT

(End FEC FORM 1)

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