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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1055227

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1. Daimler North America Corporation US Employees PAC

    1717 Pennsylvania Avenue, NW
    Suite 825
    Washington, DC 20006
    Email: cynthia.albert@daimler.com;robin@sextonpac.com

2. Date: 03/14/2016

3. FEC Committee ID #: C00611897 This committee is a separate segregated fund. Its connected organization is a Corporation
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Daimler North America Corporation
One Maynard Drive
Suite 2103
Park Ridge, New Jersey 07656
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Cynthia L Albert
1717 Pennsylvania Avenue, NW
Suite 825
Washington, DC 20006
Title: Custodian of Records
Phone # (202) 649-4511

Treasurer:

David M Trebing
1717 Pennsylvania Avenue, NW
Suite 825
Washington, DC 20006
Title: Treasurer
Phone # (202) 649-4504

Designated Agent(s):

Robin M Sexton
2330 Putnam Lane
Crofton, Maryland 21114
Title: Consultant
Phone # (301) 325-5361

Banks or Depositories

Bank of America
888 17th Street, NW
Washington, DC 20006

Signed: David M Trebing
Date Signed: 03/14/2016

(End FEC FORM 1)

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