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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1545764

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1. CC SERVICES INC COUNTRY POLITICAL ACTION COMMITTEE

    1701 N TOWANDA AVENUE
    PO BOX 2020
    BLOOMINGTON, IL 617022020
    Email: josh.johnson@countryfinancial.com;elizabeth.craig@countryfinancial.com

    NOTE: Email address is different than previously reported

2. Date: 10/20/2021

3. FEC Committee ID #: C00390971 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Committee ID# C00390971
CC SERVICES INC COUNTRY POLITICAL ACTION COMMITTEE
1701 N TOWANDA AVENUE
PO BOX 2020
BLOOMINGTON, Illinois 617022020
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Joshua R Johnson
1534 Kelsey St
Washington, IL 61571
Title: Dir. Corp Compliance
Phone # (309) 821-2101

Treasurer:

Miles Kilcoin
1208 Broad Creek
Bloomington, Illinois 61704
Title: CFO
Phone # (309) 821-2669

Designated Agent(s):

Joshua R Johnson
1534 Kelsey St
Washington, Illinois 61571

Elizabeth Craig
905 S Lee St
Bloomington, Illinois 61701

Banks or Depositories

Commerce Bank
1339 East Empire St
Bloomington, Illinois 61701

Signed: Miles Kilcoin
Date Signed: 10/20/2021

(End FEC FORM 1)

Generated Sat Jun 29 04:07:58 2024