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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1071004

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1. MISSOURI FARM BUREAU FARM PAC, NORTHWEST DISTRICT

    506 Macadee Street
    Maysville, MO 64469
    Email: mfbpac@mofb.com

2. Date: 12/07/2011

3. FEC Committee ID #: C00040428 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

Missouri Farm Bureau Federation
PO Box 658
Jefferson City, Missouri 65102
Affiliated Relationship Code: Connected Organization

Committee ID# C00019489
MISSOURI FARM BUREAU FARM PAC, NORTHEA
ROUTE 1, BOX 183
KNOX CITY, Missouri 63446
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00089839
MISSOURI FARM BUREAU FARM PAC, SOUTHEA
178 DAVID
JACKSON, Missouri 63755
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00093898
MISSOURI FARM BUREAU FARM PAC, SOUTHWE
5863 W. STATE HIGHWAY 76
ANDERSON, Missouri 64831
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00170944
MISSOURI FARM BUREAU FARM PAC, ST LOUI
5520 HIGHWAY 94
ST. CHARLES, Missouri 63301
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00038968
MISSOURI FARM BUREAU FARM PAC, WEST CE
32643 HIGHWAY E
GREEN RIDGE, Missouri 65332
Affiliated Relationship Code: Affiliated Committee

Missouri Farm Bureau Farm PAC Statewid
28962 Highway 161
New Hartford, Missouri 63364
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00613489
MISSOURI FARM BUREAU FEDERATION FEDERA
701 SOUTH COUNTRY CLUB DRIVE
JEFFERSON CITY, Missouri 65109
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Ron Crider
506 Macadee Street
Maysville, MO 64469
Title: Treasurer
Phone # (816) 393-5481

Treasurer:

Ron Crider
506 Macadee Street
Maysville, Missouri 64469
Title: Treasurer
Phone # (816) 393-5481

Designated Agent(s):

Banks or Depositories

Nodaway Valley Bank
PO Box 700
Maryville, Missouri 64468

Signed: Ron Crider
Date Signed: 05/05/2016

(End FEC FORM 1)

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