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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1034915

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1. TargetCitizens Political Forum

    1000 Nicollet Mall
    TPN 1101
    Minneapolis, MN 554032467
    Email: targetcitizens@target.com

2. Date: 12/07/2015

3. FEC Committee ID #: C00098061 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

Target Corporation
1000 Nicollet Mall
TPN 1101
Minneapolis, Minnesota 554032467
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Patricia Richey
1155 F Street, Suite 925
Washington, DC 20004
Title: Custodian of Records
Phone # (202) 688-4693

Treasurer:

Isaac Reyes
1155 F Street, Suite 925
Washington, DC 20004
Title: Secretary/Treasurer
Phone # (202) 688-4689

Designated Agent(s):

Thad Hellman
1000 Nicollet Mall, TPN - 1101
Minneapolis, Minnesota 55403
Title: Asst. Sec/Treasurer
Phone # (612) 761-6693

Banks or Depositories

Wells Fargo
IDS Center
80 S 8th Street, Suite 281
Minneapolis, Minnesota 55402

Signed: Isaac Reyes
Date Signed: 12/07/2015

(End FEC FORM 1)

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