FEC Form 1 for Nebraska Bankers Association Federal Political Action CommitteeForm 1 for Nebraska Bankers Association Federal Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-982385

1. Nebraska Bankers Association Federal Political Action Committee

233 South 13th Street, Suite 700
Lincoln, NE 68508
Email: jennifer.heaton@nebankers.org;jennifer.heaton@nebankers.org

2. Date: 01/06/2015

3. FEC Committee ID #: C00083790 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

Committee ID# C00004275
American Bankers Association BankPAC
1120 Connecticut Avenue, N.W.
Washington, DC 20036
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Jennifer Heaton
PO Box 80008
Lincoln, NE 68501

Treasurer:

Richard J Baier
PO Box 80008
Lincoln, Nebraska 68501
Title: Treasurer
Phone # (402) 474-1555

Designated Agent(s):

Robert Hallstrom
PO Box 80008
Lincoln, Nebraska 68501

Banks or Depositories

Union Bank & Trust Company
P.O. Box 6155
Lincoln, Nebraska 685060155

Signed: Richard J Baier
Date Signed: 01/06/2015

(End FEC FORM 1)

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