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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1258876

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1. Assured Guaranty Municipal Corp Political Action Committee

    1633 Broadway
    New York, NY 10019
    Email: lchow@agltd.com

2. Date: 08/23/2018

3. FEC Committee ID #: C00685958 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Assured Guaranty Municipal Corp.
1633 Broadway
New York, New York 10019
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Robert Bailenson
1633 Broadway
New York, NY 10019
Title: Treasurer
Phone # (212) 261-5525

Treasurer:

Robert Bailenson
1633 Broadway
New York, New York 10019
Title: Treasurer
Phone # (212) 261-5525

Designated Agent(s):

Banks or Depositories

The Bank of New York Mellon
240 Greenwich St
New York, New York 10286

Signed: Robert Bailenson
Date Signed: 08/23/2018

(End FEC FORM 1)

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