FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1077294
1. CLOUD PEAK ENERGY RESOURCES LLC EMPLOYEE PAC
385 Interlocken CresentSte 400
Broomfield, CO 80021
Email: molly.schwend@cldpk.com;todd.ohair@cldpk.com
NOTE: Email address is different than previously reported
2. Date: 06/14/2016
3. FEC Committee ID #: C00485003 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
Committee ID# C00485003CLOUD PEAK ENERGY RESOURCES LLC EMPLOYEE PAC
385 Interlocken Cresent
Ste 400
Broomfield, Colorado 80021
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Molly Schwend1840 Scarlet Sage Ln.
Laurel, MT 59044
Title: Treasurer
Phone # (406) 623-0526
Treasurer:
Molly Schwend1840 Scarlet Sage Ln.
Laurel, Montana 59044
Title: Treasurer
Phone # (406) 623-0526
Designated Agent(s):
Molly Schwend1840 Scarlet Sage Ln.
Laurel, Montana 59044
Title: Treasurer
Phone # (406) 623-0526
Todd O'Hair
PO Box 759
Helena, Montana 59624
Title: Assistant Treasurer
Phone # (406) 439-0289
Banks or Depositories
UMB BankPO Box 419226
Kansas City, Missouri 641416226