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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1737504

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1. BROADCOM INC. POLITICAL ACTION COMMITTEE (BROADCOM PAC)

    1320 Ridder Park Dr.
    San Jose, CA 95131
    Email: mark.brazeal@broadcom.com,broadcom@electioncompliance.com

2. Date: 12/01/2023

3. FEC Committee ID #: C00680504 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

BROADCOM INC
1320 Ridder Park Dr
San Jose, California 95131
Affiliated Relationship Code: Connected Organization

VMware LLC Political Action Committee
3401 Hillview Ave
Palo Alto, California 94304
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

PAC Outsourcing LLC
5845 Richmond Hwy
Suite 820
Alexandria, VA 22303
Title: Election Compliance
Phone # (703) 347-6551

Treasurer:

Mark Brazeal
BROADCOM INC.
1320 Ridder Park Dr
San Jose, California 95131
Title: Chief Legal Officer
Phone # (408) 433-6336

Designated Agent(s):

Kirsten Spears
BROADCOM INC.
1320 Ridder Park Dr.
San Jose, California 95131
Title: Assistant Treasurer/
Phone # (408) 501-8200

Banks or Depositories

Bank of America
500 N. Washington St.
Alexandria, Virginia 22314

Signed: Mark Brazeal
Date Signed: 12/01/2023

FORM TEXT-1

(End FEC FORM 1)

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