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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1052955

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1. Nebraska Farm Bureau Federation

    5225 South 16th St PO Box 80299
    Lincoln, NE 68501
    Email: whittneyk@nefb.org

    NOTE: Email address is different than previously reported

2. Date: 03/02/2016

3. FEC Committee ID #: C00444752 This committee is a separate segregated fund. Its connected organization is a Membership Organization
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Committee ID# C00444752
Nebraska Farm Bureau Federation
5225 South 16th St PO Box 80299
Lincoln, Nebraska 68501
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Whittney Kelley
5225 South 16th Street
PO Box 80299
Lincoln, NE 68501
Title: Gov. Relations Assoc
Phone # (402) 421-4760

Treasurer:

Kevin Burch
PO Box 80299
Lincoln, Nebraska 68501
Title: Dir. of NFBF-PAC
Phone # (402) 421-4433

Designated Agent(s):

Kevin Burch
PO Box 80299
Lincoln, Nebraska 68501
Title: Chief Financial Off.
Phone # (402) 421-4400

Banks or Depositories

Union Bank
PO Box 82535
Lincoln, Nebraska 68501

Signed: Kevin Burch
Date Signed: 03/02/2016

(End FEC FORM 1)

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