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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1415424

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1. C3.ai Inc. PAC

    1300 Seaport Blvd
    Suite 500
    Redwood City, CA 94063
    Email: c3pac@c3.ai;derron.blakely@c3.ai

2. Date: 06/01/2020

3. FEC Committee ID #: C00750026 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

C3.ai, Inc. PAC
1300 Seaport Blvd
Suite 500
Redwood City, California 94063
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Derron J Blakely
1300 Seaport Blvd
Suite 500
Redwood City, CA 94063
Title: Treasurer
Phone # (571) 217-1496

Treasurer:

Derron J Blakely
1300 Seaport Blvd
Suite 500
Redwood City, California 94063
Title: Treasurer
Phone # (571) 217-1496

Designated Agent(s):

Banks or Depositories

Bank of America
555 California Street
San Francisco, California 94104

Signed: Derron J Blakely
Date Signed: 06/29/2020

(End FEC FORM 1)

Generated Thu Oct 10 03:43:43 2024