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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1558027

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1. PAR PACIFIC HOLDINGS INC PAC

    825 TOWN & COUNTRY LN.
    SUITE 1500
    HOUSTON, TX 77024

    NOTE: Address is different than previously reported

    Email: MVAUGHN@PARPACIFIC.COM;tnielsen@parpacific.com

    NOTE: Email address is different than previously reported

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:

Thor Nielsen
825 Town & Country Ln.
Suite 1500
Houston, TX 77024
Title: Treasurer
Phone # (253) 680-3283

Treasurer:

Thor Nielsen
825 Town & Country Ln.
Suite 1500
Houston, Texas 77024
Phone # (253) 680-3283

Designated Agent(s):

Banks or Depositories

KeyBank
127 Public Square
Cleveland, Ohio 44114

Signed: Thor Nielsen
Date Signed: 01/21/2022

(End FEC FORM 1)

Generated Fri Jul 26 18:01:10 2024