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FEC Form 1 for CC SERVICES INC COUNTRY POLITICAL ACTION COMMITTEEForm 1 for CC SERVICES INC COUNTRY POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-881300


1. CC SERVICES INC COUNTRY POLITICAL ACTION COMMITTEE

    1701 N TOWANDA AVENUE
    PO BOX 2020
    BLOOMINGTON, IL 617022020
    Email: mwright@ilfb.org

    NOTE: Email address is different than previously reported

2. Date: 11/03/2011

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:

Megan Wright
1701 Towanda Ave
Bloomington, IL 61702
Title: Staff Accountant
Phone # (309) 557-2489

Treasurer:

Robert, Treasurer Bateman
1701 Towanda Ave
Bloomington, Illinois 61702
Title: Chief Financial Off
Phone # (309) 557-3886

Designated Agent(s):

Megan Wright
1701 Towanda Ave
Bloomington, Illinois 61702
Title: Staff Accountant
Phone # (309) 557-2489

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

Banks or Depositories

Commerce Bank
120 N. Center Street
Bloomington, Illinois 617020068

Signed: Robert, Treasurer Bateman
Date Signed: 07/23/2013
Official Committee URL: www.countryfinancial.com

(End FEC FORM 1)


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