FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-868399
1. LIQUID ROBOTICS INC POLITICAL ACTION COMMITTEE (LIQUID ROBOTICS PAC)
LIQUID ROBOTICS1329 MOFFETT PARK DR
SUNNYVALE, CA 94089
Email: steven.springsteel@liquidr.com
2. Date: 04/19/2013
3. FEC Committee ID #: C00521765 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
Liquid Robotics, Inc.1329 Moffett Park Dr.
Sunnyvale, California 94089
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Doug Carlen1329 Moffett Park Dr.
Sunnyvale, CA 94089
Title: Custodian of Records
Phone # (408) 636-4200
Treasurer:
Steven Springsteel1329 Moffett Park Dr.
Sunnyvale, California 94089
Title: Treasurer
Phone # (408) 636-4200
Designated Agent(s):
Doug Carlen1329 Moffett Park Dr.
Sunnyvale, California 94089
Title: Assistant Treasurer
Phone # (408) 636-4200
Banks or Depositories
Wells Fargo N.A.121 South Market St.
San Jose, California 95113