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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1552835

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1. Affirm, Inc. for Positive Policy

    650 California Street
    12th Floor
    San Francisco, CA 941082716
    Email: scott.astrada@affirm.com;rico@affirm.com

2. Date: 12/10/2021

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 St
Fl 12
San Francisco, California 941082716
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Scott Astrada
650 California St
Fl 12
San Francisco, CA 941082716
Title: Custodian of Records
Phone # (414) 803-5428

Treasurer:

Scott Astrada
650 California St
Fl 12
San Francisco, California 941082716
Title: Treasurer
Phone # (414) 803-5428

Designated Agent(s):

Scott Astrada
650 California St
Fl 12
San Francisco, California 941082716
Title: Designated Agent
Phone # (414) 803-5428

Banks or Depositories

JPMorgan Chase Bank
PO Box 182051
Columbus, Ohio 43218

Signed: Scott Astrada
Date Signed: 12/15/2021

FORM TEXT-1

(End FEC FORM 1)

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