FEC Form 1 for KANSAS CITY LIFE INSURANCE COMPANY EMPLOYEES' POLITICAL ACTION COMMITTEE-FUND IIForm 1 for KANSAS CITY LIFE INSURANCE COMPANY EMPLOYEES' POLITICAL ACTION COMMITTEE-FUND II

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-441293

1. KANSAS CITY LIFE INSURANCE COMPANY EMPLOYEES' POLITICAL ACTION COMMITTEE-FUND II

3520 BROADWAY
KANSAS CITY, MO 64111
Email: rnagel@kclife.com

2. Date: 12/03/2009

3. FEC Committee ID #: C00042663 This committee is a separate segregated fund. Its connected organization is a

Affiliated Committees/Organizations

Kansas City Life Insurance Company
3520 Broadway
Kansas City, Missouri 64111
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mr. Robert William Nagel
3520 Broadway
Kansas City, MO 64111
Title: Treasurer/Govt Affai
Phone # (816) 753-7299

Treasurer:

Richard Ropp
3520 Broadway
Kansas City, Missouri 64111
Title: Vice President
Phone # (816) 753-7299

Designated Agent(s):

Banks or Depositories

Commerce Bank
1000 Walnut
Kansas City, Missouri 64106

Signed: Richard Ropp
Date Signed: 12/03/2009

(End FEC FORM 1)

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