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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-803260

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1. Miraca Life Sciences Inc Employees Federal PAC

    6655 N Macarthur Boulevard
    Irving, TX 750392443
    Email: dpriestley@MiracaLS.com;apayne@MiracaLS.com

    NOTE: Email address is different than previously reported

2. Date: 08/07/2012

3. FEC Committee ID #: C00524710 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Miraca Life Sciences
6655 N. MacArthur Boulevard
Irving, Texas 750392443
Affiliated Relationship Code: Connected Organization

Custodian of Records:

David Priestley
6655 N. MacArthur Boulevard
Irving, TX 750392443
Title: Treasurer
Phone # (214) 596-7035

Treasurer:

David Priestley
6655 N. MacArthur Boulevard
Irving, Texas 750392443
Title: Treasurer
Phone # (214) 596-7035

Designated Agent(s):

Amanda R. Payne
6655 N. MacArthur Boulevard
Irving, Texas 750392443
Title: Assistant Treasurer
Phone # (214) 596-2209

Banks or Depositories

Bank of America Merrill Lynch
Global Commercial Banking
901 Main Street, 10th Floor
Dallas, Texas 752023738

Signed: David Priestley
Date Signed: 08/07/2012

(End FEC FORM 1)

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