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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-175612

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1. MISSOURI FARM BUREAU FARM PAC SOUTHWEST DISTRICT

    803 East Dawn
    Ozark, MO 65721

    NOTE: Address is different than previously reported

2. Date: 06/02/2005

3. FEC Committee ID #: C00093898 This committee supports/opposes only one candidate and is NOT an Authorized Committee. Candidate Name:

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Ronald Young
708 N 10th Ave
Ozark, Missouri 65721
Title: Treasurer
Phone # (417) 581-7323

Designated Agent(s):

Banks or Depositories

Signed: Ronald Young
Date Signed: 06/02/2005

(End FEC FORM 1)

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