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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1165599

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1. The Internet Association PAC

    1333 H St., NW
    12th Floor, West
    Washington, DC 20005

    NOTE: Address is different than previously reported

    Email: beckerman@internetassociation.com,mrgriffin@comerica.com

    NOTE: Email address is different than previously reported

2. Date: 08/27/2014

3. FEC Committee ID #: C00540484 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

The Internet Association
1333 H St., NW
12th Floor, West
Washington, DC 20005
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Comerica Bank PAC Services
P.O. Box 75000
MC2250
Detroit, MI 482752250
Title: Recordkeeper
Phone # (248) 371-7268

Treasurer:

Michael Beckerman
1333 H St., NW
12th Floor, West
Washington, DC 20005
Title: President & CEO
Phone # (202) 803-5783

Designated Agent(s):

Banks or Depositories

Comerica Bank
P.O. Box 75000
Detroit, Michigan 48275

Signed: Michael Beckerman
Date Signed: 08/27/2014

FORM TEXT-1

(End FEC FORM 1)

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