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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1164882

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1. Kelly PAC

    NOTE:Commmittee Name is different than previously reported

    901 N Washington Street
    Suite 700
    Alexandria, VA 223141535
    Email: ted@kochandhoos.com

2. Date: 06/06/2017

3. FEC Committee ID #: C00493411

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

Custodian of Records:

Theodore V. Koch
901 N Washington Street
Suite 700
Alexandria, VA 223141535
Title: Custodian of Records
Phone # (703) 299-8570

Treasurer:

Theodore V. Koch
901 N Washington Street
Suite 700
Alexandria, Virginia 223141535
Title: Treasurer
Phone # (703) 299-8570

Designated Agent(s):

Timothy Koch
901 N Washington Street
Suite 700
Alexandria, Virginia 223141535
Title: Assistant Treasurer
Phone # (703) 299-8571

Banks or Depositories

Bank of America
600 N Washington Street
Alexandria, Virginia 223141914

Signed: Theodore V. Koch
Date Signed: 06/06/2017
Official Committee URL: www.kellypac.com

NOTE: URL is different than previously reported

(End FEC FORM 1)

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