FEC Form 1 for CLOUD PEAK ENERGY RESOURCES LLC EMPLOYEE PACForm 1 for CLOUD PEAK ENERGY RESOURCES LLC EMPLOYEE PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1011900

1. CLOUD PEAK ENERGY RESOURCES LLC EMPLOYEE PAC

385 Interlocken Cresent
Ste 400
Broomfield, CO 80021
Email: matt.warner@cldpk.com;todd.ohair@cldpk.com

2. Date: 06/26/2015

3. FEC Committee ID #: C00485003 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Committee ID# C00485003
CLOUD PEAK ENERGY RESOURCES LLC EMPLOYEE PAC
385 Interlocken Cresent
Ste 400
Broomfield, Colorado 80021
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Matt Warner
7328 W 96th Ave
Westminster, CO 80021
Title: Treasurer
Phone # (720) 566-2903

Treasurer:

Matt Warner
7328 W 96th Ave
Westminster, Colorado 80021

Designated Agent(s):

Matt Warner
7328 W 96th Ave
Westminster, Colorado 80021
Title: Treasurer
Phone # (720) 566-2903

Todd O'Hair
PO Box 759
Helena, Montana 59624
Title: Assistant Treasurer
Phone # (406) 439-0289

Banks or Depositories

UMB Bank
PO Box 419226
Kansas City, Missouri 641416226

Signed: Matt Warner
Date Signed: 06/30/2015

(End FEC FORM 1)

Generated Wed Aug 7 19:44:13 2024