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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-473924

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1. Grange Mutual Casualty Company PAC

    671 South High Street
    PO Box1218
    Columbus, OH 432161218
    Email: colemanl@grangeinsurance.com

2. Date: 06/08/2010

3. FEC Committee ID #: C00302695 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Grange Mutual Casualty Company
671 S. High Street
Columbus, Ohio 43206
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

LaVawn D., Coleman
671 South High Street
P.O. Box 1218
Columbus, Ohio 432161218
Title: Asst. General Counse
Phone # (614) 445-2649

Designated Agent(s):

Banks or Depositories

PNC Bank
629 Euclid Avenue
Cleveland, Ohio 44114

Signed: LaVawn D., Coleman
Date Signed: 06/08/2010

FORM TEXT

(End FEC FORM 1)

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