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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1061345

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1. Plymouth Energy LLC PAC

    22234 K42
    Merrill, IA 51038
    Email: dan.kirwan@lakeviewenergyllc.com;aaron.mcdowell@lakeviewenergyllc.com

2. Date: 04/13/2016

3. FEC Committee ID #: C00483974 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Plymouth Energy LLC PAC
22234 K42
Merrill, Iowa 51038
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Daniel Kirwan
22234 K42
Merrill, IA 51038
Title: Treasurer
Phone # (712) 938-2373

Treasurer:

Daniel Kirwan
22234 K42
Merrill, Iowa 51038
Title: Treasurer
Phone # (712) 938-2373

Designated Agent(s):

Aaron McDowell
300 W Adams
Suite 830
Chicago, Illinois 60606
Title: Asst Treasurer
Phone # (312) 508-5633

Banks or Depositories

Iowa Prairie Bank
201 Main Street
Merrill, Iowa 51038

Signed: Daniel Kirwan
Date Signed: 04/14/2016

(End FEC FORM 1)

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