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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-178416

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1. American Quarter Horse Association PAC

    P.O. Box 200
    Amarillo, TX 79168
    Email: tcase@aqha.org

2. Date: 07/08/2005

3. FEC Committee ID #: C00409102 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

American Quarter Horse Association
P.O. Box 200
Amarillo, Texas 79168
Relationship: Connected
Organization Type: Membership Organization

Custodian of Records:

Tim Case
P.O. Box 200
Amarillo, TX 79168
Title: Treasurer
Phone # (806) 378-4718

Treasurer:

Tim Case
P.O. Box 200
Amarillo, Texas 79168
Title: Treasurer
Phone # (806) 378-4718

Designated Agent(s):

Ward A. Stutz
P.O. Box 200
Amarillo, Texas 79168
Title: Assistant Treasurer
Phone # (806) 378-4707

Banks or Depositories

Amarillo National Bank
P.O. Box 1
Amarillo, Texas 79105

Signed: Tim Case Treasurer
Date Signed: 07/08/2005

(End FEC FORM 1)

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