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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1195432

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1. Safelite Group Inc. PAC (aka Safelite PAC)

    7400 Safelite Way
    Columbus, OH 43235
    Email: dino.lanno@safelite.com;scot.zajic@safelite.com

    NOTE: Email address is different than previously reported

2. Date: 12/29/2017

3. FEC Committee ID #: C00526509 This committee is a separate segregated fund. Its connected organization is a Corporation
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Safelite Group Inc.
7400 Safelite Way
Columbus, Ohio 43235
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Dino Lanno
7400 Safelite Way
Columbus, OH 43235
Title: Custodian of Records
Phone # (614) 210-9266

Treasurer:

Dino Lanno
7400 Safelite Way
Columbus, Ohio 43235
Title: Treasurer
Phone # (614) 210-9266

Designated Agent(s):

Gretchen Jeffries
2700 Safelite Way
Columbus, Ohio 43235
Title: Assistant Treasurer
Phone # (614) 210-9266

Dan Loyal
3070 Business Park Drive
Raleigh, North Carolina 27610
Title: NC Assistant Treasur
Phone # (919) 427-4561

Banks or Depositories

Bank of America
100 North Tryon Street
Charlotte, North Carolina 28255

Signed: Dino Lanno
Date Signed: 12/29/2017

(End FEC FORM 1)

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