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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-880289

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1. PRIMERICA INC POLITICAL ACTION COMMITTEE (PRIMERICA PAC)

    1 Primerica Parkway
    DULUTH, GA 30099

    NOTE: Address is different than previously reported

    Email: claudia.herrera@primerica.com

2. Date: 07/18/2013

3. FEC Committee ID #: C00521914 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Primerica, Inc.
1 Primerica Parkway
Duluth, Georgia 30099
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Judy Trollinger
1 Primerica Parkway
Duluth, GA 300990001
Title: Custodian of Records
Phone # (470) 564-6167

Treasurer:

Claudia Herrera
1 Primerica Parkway
Duluth, Georgia 300990001
Title: Treasurer
Phone # (470) 564-6856

Designated Agent(s):

Jan Trantham
1 Primerica Parkway
Duluth, Georgia 300990001
Title: Assistant Treasurer
Phone # (470) 564-6246

Banks or Depositories

The Bank of New York Mellon
500 Ross Street
Pittsburgh, Pennsylvania 152620001

Signed: Claudia Herrera
Date Signed: 07/18/2013

(End FEC FORM 1)

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