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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1551894

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1. BASIN ELECTRIC POWER COOPERATIVE POLITICAL ACTION COMMITTEE (BASIN ELECTRIC PAC)

    1717 E INTERSTATE AVE
    Bismarck, ND 585030542
    Email: jeans@bepc.com;outsourcing@aristotle.com

2. Date: 12/13/2021

3. FEC Committee ID #: C00220269 This committee is a separate segregated fund. Its connected organization is a Cooperative

Affiliated Committees/Organizations

Committee ID# c00002972
NATIONAL RURAL ELECTRIC COOPERATIVE ASSOCIATION NRECA
4301 WILSON BLVD
ARLINGTON, Virginia 22203
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Jean Schafer
8228 Burr Oak Loop
Bismarck, ND 585019324
Title: Custodian of Records
Phone # (701) 557-5415

Treasurer:

Jean Schafer
8228 Burr Oak Loop
Bismarck, North Dakota 585019324
Title: Treasurer
Phone # (701) 557-5415

Designated Agent(s):

Jean Schafer
8228 Burr Oak Loop
Bismarck, North Dakota 585019324
Title: Designated Agent
Phone # (701) 557-5415

Banks or Depositories

Bravera Bank
320 N 4th St
Bismarck, North Dakota 58501

Signed: Jean Schafer
Date Signed: 12/13/2021

FORM TEXT-1

(End FEC FORM 1)

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