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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1258751

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1. PAR PACIFIC HOLDINGS INC PAC

    800 GESSNER ROAD SUITE 875
    HOUSTON, TX 77024
    Email: MVAUGHN@PARPACIFIC.COM;tdorroh@parpacific.com

2. Date: 07/31/2018

3. FEC Committee ID #: C00637322 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Par Pacific Holdings, Inc
800 Gessner Rd.
Suite 875
Houston, Texas 77024
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Travis Dorroh
800 Gessner Rd
Suite 875
Houston, TX 77024

Treasurer:

Travis Dorroh
800 Gessner Rd
Suite 875
Houston, Texas 77024

Designated Agent(s):

Banks or Depositories

KeyBank
127 Public Square
Cleveland, Ohio 44114

Signed: Travis Dorroh
Date Signed: 08/22/2018

(End FEC FORM 1)

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