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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1373783

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1. HOLDEN INDUSTRIES, INC. PAC (HOLDEN PAC)

    500 LAKE COOK ROAD
    SUITE 400
    DEERFIELD, IL 60015
    Email: holdenpac@holdenindustriesinc.com

2. Date: 01/28/2020

3. FEC Committee ID #: C00543561 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Holden Industries, Inc.
500 Lake Cook Road
Suite 400
Deerfield, Illinois 60015
Affiliated Relationship Code: Connected Organization

Custodian of Records:

David Danielski
500 Lake Cook Road
Suite 400
Deerfield, IL 60015
Title: Assistant Treasurer
Phone # (847) 940-1500

Treasurer:

Jay Schauer
500 Lake Cook Road
Suite 400
Deerfield, Illinois 60015
Title: Treasurer
Phone # (847) 940-1500

Designated Agent(s):

David Danielski
500 Lake Cook Road
Suite 400
Deerfield, Illinois 60015
Title: Assistant Treasurer
Phone # (847) 940-1500

Banks or Depositories

J.P. Morgan Chase Bank
10 S. Dearborn Street
Chicago, Illinois 60603

Signed: Jay Schauer
Date Signed: 01/28/2020

(End FEC FORM 1)

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