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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1173743

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1. VALENT U.S.A. LLC Political Action Committee

    300 Independence Avenue SE
    Washington, DC 20003
    Email: agomez@cgagroup.com;sbattista@cgagroup.com

2. Date: 07/17/2017

3. FEC Committee ID #: C00650986 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

VALENT U.S.A. LLC
1333 N California Blvd
Walnut Creek, California 94596
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Ms. Suzanne Battista
300 Independence Ave SE
Washington, DC 20003
Title: Assistant Treasurer

Treasurer:

Mr. Brad Syltie
300 Independence Ave SE
Washington, DC 20003
Title: Treasurer

Designated Agent(s):

Ms. Suzanne Battista
300 Independence Ave SE
Washington, DC 20003
Title: Assistant Treasurer

Banks or Depositories

United Bank
1001 Wisconsin Avenue, NW
Washington, DC 20007

Signed: Mr. Brad Syltie
Date Signed: 07/20/2017

(End FEC FORM 1)

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