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r n FEC Form 1 (Revised 02/2009) Page 3 Write or Type Committee Name Hillary for America 6. Name of Any Connected Organization, Affiiiated Committee, Joint Fundraising Representative, or Leadership PAC Sponsor i"Nqnp 1 1 1 1 1 1 1 1 1 II II 1 1 1 II 1 1 1 1 II 1 1 1 Ml 1 1 Mill Mailina Address 1 1 1 1 1 II 1 1 ! 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 III 1 1 1 1 1 i 0 Mill Ml 1 Ml M , , , ­M , , 1 5 CITY STATE ZIP CODE Relationship: Connected Organization Affiliated Committee [joint Fundraising Representative Leadership PAC Sponsor 1 7. Custodian of Records: Identify by name, address (phone number ­­ optional) and position of the person in possession of committee S books and records. lEIizabeth Jones Full Name Lj I l_L_i I l_l L J l—i 1_1 I—I i I I i l_l I I—I i 1—1 I—I i I I i_J i i I ft/laiiing Address I I I I I I I I I I I I I I I I I I I I I I ! I I I I I i I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I i m Title or Position CITY STATE ZIP CODE iCOO I I I I I I I I I I I Telephone number I i i I ­ L I I ! I i 8. Treasurer: List the name and address (phone number ­­ optional) of the treasurer of the committee; and the name and address of any designated agent (e.g., assistant treasurer). Full Name Jose H. Villarreal of Treasurer _J i I I I I l_l I L_L I I I I I I I ­I I Mailing Address ^1^^^ I I I I I I I I I I I I I I I I Xprk CITY STATE ZIP CODE Title or Position L I I I I I I I I i i Telephone number I i i i I I I I J

HFA Statement of Organization - Page 3 HFA Statement of Organization Page 2 Page 4