FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-188471
1. KUTAK ROCK LLP POLITICAL ACTION COMMITTEE
1801 California StreetSuite 3100
DENVER, CO 80202
Fax: 3032927799
Email: gary.ceballos@kutakrock.com
2. Date: 08/16/2004
3. FEC Committee ID #: C00160986This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
Affiliated Committees/Organizations
Custodian of Records:
Treasurer:
, ____
Designated Agent(s):
Ms Peg Wieseler
1650 Farnam Street
Omaha, Nebraska 68102
Title: Assistant Treasurer
Phone # (402) 346-6000
Banks or Depositories
Signed: Mr. Gary Ceballos
Date Signed: 10/12/2005
Official Committee FAX: 3032927799
(End FEC FORM 1)
Date Signed: 10/12/2005
Official Committee FAX: 3032927799