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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1048208

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1. Planned Parenthood Action Fund Inc. PAC

    123 William St, 10th Floor
    New York, NY 10038

    NOTE: Address is different than previously reported

    Email: fecinfo@PASS1.com

2. Date: 02/01/2016

3. FEC Committee ID #: C00314617 This committee is a separate segregated fund. Its connected organization is a Membership Organization
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Committee ID# C90005471
Planned Parenthood Action Fund Inc.
123 William St, 10th Floor
New York, New York 10038
Affiliated Relationship Code: Connected Organization

Committee ID# C00312082
Planned Parenthood of Houston & Southe
3601 Fannin
Houston, Texas 77004
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Lynda Feldman
123 William St, 10th Floor
New York, NY 10038
Title: Custodian of Records
Phone # (212) 261-4301

Treasurer:

Liz Gustafson
1110 Vermont Ave NW, Suite 300
Washington, DC 20005
Title: Treasurer
Phone # (202) 973-4860

Designated Agent(s):

Lynda Feldman
123 William St, 10th Floor
New York, New York 10038
Title: Assistant Treasurer
Phone # (212) 261-4301

Banks or Depositories

Bank of America
P.O. Box 25118
Tampa, Florida 33622

Signed: Liz Gustafson
Date Signed: 02/05/2016

FORM TEXT-1

(End FEC FORM 1)

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