FEC Form 1 for Siemens Energy, Inc. PACForm 1 for Siemens Energy, Inc. PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1742491

1. Siemens Energy, Inc. PAC

799 9th Street, NW, Suite 300
Washington, DC 20001
Email: samantha.large@siemens-energy.com

2. Date: 08/23/2023

3. FEC Committee ID #: C00848820 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

Siemens Energy, Inc.
799 9th Street, NW, Suite 300
Washington, DC 20001
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Samantha Frith Large
799 9th Street, NW, Suite 300
Washington, DC 20001
Title: PAC Treasurer
Phone # (202) 714-9283

Treasurer:

Samantha Frith Large
799 9th Street, NW, Suite 300
Washington, DC 20001
Phone # (202) 714-9283

Designated Agent(s):

Brian Blacher
4400 N Alafaya Trail
Orlando, Florida 32826
Title: Assistant Treasurer
Phone # (407) 451-8321

Banks or Depositories

Citibank, N.A.
388 Greenwich Street
New York, New York 10013

Signed: Samantha Frith Large
Date Signed: 01/10/2024

(End FEC FORM 1)

Generated Thu Jul 18 16:31:23 2024