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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-987571

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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: 01/26/2015

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:

Jeffrey Yue
66 N Hoadley St
Naugatuck, CT 067702502
Title: Custodian of Records
Phone # (203) 426-1320

Treasurer:

Lawrence G. Keane
PO Box 547
Georges Mills, New Hampshire 037510547
Title: Treasurer
Phone # (203) 526-6773

Designated Agent(s):

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

Banks or Depositories

Wells Fargo
26 Church Hill Road
Newtown, Connecticut 06470

Signed: Lawrence G. Keane
Date Signed: 01/28/2015

FORM TEXT-1

(End FEC FORM 1)

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