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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1372037

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1. Affirm, Inc. for Positive Policy

    650 California Street, 12th Floor
    San Francisco, CA 94108
    Email: scott.astrada@affirm.com;rico@affirm.com

    NOTE: Email address is different than previously reported

2. Date: 05/31/2019

3. FEC Committee ID #: C00708081 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Affirm, Inc.
650 California Street, 12th Floor
San Francisco, California 94108
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Scott B Astrada
650 California St., 12th Floor
San Francisco, CA 94108
Title: Treasurer
Phone # (414) 803-5428

Treasurer:

Scott B Astrada
650 California St., 12th Floor
San Francisco, California 94108
Title: Treasurer
Phone # (414) 803-5428

Designated Agent(s):

Scott B Astrada
650 California St., 12th Floor
San Francisco, California 94108
Title: Treasurer
Phone # (414) 803-5428

Banks or Depositories

Silicon Valley Bank
3003 Tasman Drive
Santa Clara, California 95054

Signed: Scott B Astrada
Date Signed: 01/22/2020

(End FEC FORM 1)

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