FEC Form 1 for MISSOURI FARM BUREAU FARM PAC, SOUTHWEST DISTRICTForm 1 for MISSOURI FARM BUREAU FARM PAC, SOUTHWEST DISTRICT

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1071008

1. MISSOURI FARM BUREAU FARM PAC, SOUTHWEST DISTRICT

5863 W. State Highway 76
Anderson, MO 648318129
Email: mfbpac@mofb.com

2. Date: 11/29/2011

3. FEC Committee ID #: C00093898 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

Missouri Farm Bureau Federation
P. O. 658
Jefferson City, Missouri 65102
Affiliated Relationship Code: Connected Organization

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

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

Committee ID# C00040428
MISSOURI FARM BUREAU FARM PAC, NORTHWE
506 MACADEE STREET
MAYSVILLE, Missouri 64469
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# 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

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:

Vance Keaton
5863 W. State Hwy 76
Anderson, MO 648318129
Title: Treasurer

Treasurer:

Vance Keaton
5863 W. State Hwy 76
Anderson, Missouri 648318129
Title: Treasurer

Designated Agent(s):

Banks or Depositories

Hometown Bank
E. 32nd Street
Joplin, Missouri 64803

Signed: Vance Keaton
Date Signed: 05/05/2016

(End FEC FORM 1)

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