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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1573069

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1. Empower Retirement LLC Political Action Committee ('Empower PAC')

    NOTE:Commmittee Name is different than previously reported

    8515 E. Orchard Road
    Number 7T2
    Greenwood Village, CO 80111
    Email: Empower_PAC@empower.com;jeshaw@skadden.com

    NOTE: Email address is different than previously reported

2. Date: 03/09/2022

3. FEC Committee ID #: C00571125 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Empower Retirement, LLC
8515 E. Orchard Road
Number 7T2
Greenwood Village, Colorado 80111
Affiliated Relationship Code: Connected Organization

Committee ID# C00289595
Putnam Investments, LLC Political Acti
100 Federal Street
Boston, Massachusetts 02110
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Cheryl Buckley
8515 E. Orchard Road
Number 7T2
Greenwood Village, CO 80111
Title: Treasurer
Phone # (303) 737-1644

Treasurer:

Cheryl Buckley
8515 E. Orchard Road
Number 7T2
Greenwood Village, Colorado 80111
Title: Treasurer
Phone # (303) 737-1644

Designated Agent(s):

Banks or Depositories

U.S. Bank
8505 E. Orchard Road
1T1
Greenwood Village, Colorado 80111

Signed: Cheryl Buckley
Date Signed: 03/09/2022

(End FEC FORM 1)

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