FEC Form 1 for GULFPORT ENERGY CORPORATION POLITICAL ACTION COMMITTEE (GULFPORT ENERGY PAC)Form 1 for GULFPORT ENERGY CORPORATION POLITICAL ACTION COMMITTEE (GULFPORT ENERGY PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1148502

1. GULFPORT ENERGY CORPORATION POLITICAL ACTION COMMITTEE (GULFPORT ENERGY PAC)

3001 Quail Springs Pkwy.
Oklahoma City, OK 73134

NOTE: Address is different than previously reported

Email: pheerwagen@gulfport.com;zsimpson@gulfportenergy.com

NOTE: Email address is different than previously reported

2. Date: 02/10/2017

3. FEC Committee ID #: C00580654 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Gulfport Energy Corporation
3001 Quail Springs Pkwy.
Oklahoma City, Oklahoma 73134
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Zachary Simpson
3001 Quail Springs Pkwy.
Oklahoma City, OK 73134
Title: Custodian of Records
Phone # (405) 252-4608

Treasurer:

Keri Crowell
3001 Quail Springs Pkwy.
Oklahoma City, Oklahoma 73134
Title: Treasurer
Phone # (405) 252-4517

Designated Agent(s):

Paul Heerwagen
3001 Quail Springs Pkwy.
Oklahoma City, Oklahoma 73134
Title: Assistant Treasurer
Phone # (405) 252-4518

Banks or Depositories

Bank of Oklahoma
201 Robert S. Kerr
Oklahoma City, Oklahoma 73102

Signed: Keri Crowell
Date Signed: 02/10/2017
Official Committee URL: www.gulfportenergy.com

(End FEC FORM 1)

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