FEC Form 1 for Thrivent Financial for Lutherans-Employee Political Action CommitteeForm 1 for Thrivent Financial for Lutherans-Employee Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-156608

1. Thrivent Financial for Lutherans-Employee Political Action Committee

Post Office Box 1892
Appleton, WI 54912
Fax: 920-628-3711

2. Date: 12/15/2004

3. FEC Committee ID #: C00121319 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Magan A. De Valk
P.O. Box 1892
Appleton, Wisconsin 54912
Title: Treasurer
Phone # (920) 628-3315

Designated Agent(s):

Banks or Depositories

Thrivent Financial Bank
2000 E Milestone Drive
Appleton, Wisconsin 54919

Signed: Magan A. De Valk
Date Signed: 12/15/2004
Official Committee FAX: 920-628-3711

(End FEC FORM 1)

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