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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1088393

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1. 1-800 Contacts, Inc. PAC

    261 W. Data Drive
    Draper, UT 84020
    Email: pac@1800contacts.com

2. Date: 07/19/2016

3. FEC Committee ID #: C00621912 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

1-800 Contacts, Inc.
261 W. Data Drive
Draper, Utah 84020
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Brett Gappmayer
261 W. Data Drive
Draper, UT 84020
Title: Treasurer
Phone # (801) 316-5744

Treasurer:

Brett Gappmayer
261 W. Data Drive
Draper, Utah 84020
Title: Treasurer
Phone # (801) 316-5744

Designated Agent(s):

Matt Starley
261 W. Data Drive
Draper, Utah 84020
Title: Assistant Treasurer
Phone # (801) 316-5535

Banks or Depositories

Zions Bank
One South Main Street
Salt Lake City, Utah 84133

Signed: Brett Gappmayer
Date Signed: 07/19/2016
Official Committee URL: www.1800contacts.com

(End FEC FORM 1)

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