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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1578431

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1. Bread Financial Holdings, Inc. PAC (aka Bread Financial PAC)

    NOTE:Commmittee Name is different than previously reported

    7500 Dallas Parkway, Suite 700
    Plano, TX 75024
    Email: James.Taylor@breadfinancial.com;FECINFO@pass1.com

    NOTE: Email address is different than previously reported

2. Date: 04/06/2022

3. FEC Committee ID #: C00551812 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Bread Financial Holdings, Inc.
7500 Dallas Parkway, Suite 700
Plano, Texas 75024
Affiliated Relationship Code: Connected Organization

Custodian of Records:

PAC Agent PASS, Inc.
1950 Roland Clarke Place, Ste 300
Reston, VA 20191
Title: Custodian of Records
Phone # (703) 476-3070

Treasurer:

James Taylor
3095 Loyalty Circle
Columbus, Ohio 43219
Title: Treasurer
Phone # (614) 729-4427

Designated Agent(s):

Banks or Depositories

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

Signed: James Taylor
Date Signed: 04/06/2022

FORM TEXT-1

(End FEC FORM 1)

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