FEC Form 1 for Empower Retirement LLC Political Action Committee ('Empower PAC')Form 1 for Empower Retirement LLC Political Action Committee ('Empower PAC')

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1742396

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

8515 E. Orchard Road
Number 7T2
Greenwood Village, CO 80111
Email: Empower_PAC@empower.com;DLPOLRPTS3@skadden.com

2. Date: 09/20/2023

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

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: 01/10/2024

(End FEC FORM 1)

Generated Sat Nov 2 14:08:22 2024