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FEC Form 1 for Mutual of Omaha Companies PAC (IMPAC)Form 1 for Mutual of Omaha Companies PAC (IMPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-268141


1. Mutual of Omaha Companies PAC (IMPAC)

    Mutual of Omaha Plaza
    Omaha, NE 68175
    Fax: 4023515710
    Email: sue.miner@mutualofomaha.com

2. Date: 01/09/2007

3. FEC Committee ID #: C00094581 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Mutual of Omaha Companies
Mutual of Omaha Plaza
Omaha, Nebraska 68175
Organization Type: Corporation

Custodian of Records:


Treasurer:

Galen F. Ullstrom
Mutual of Omaha Plaza
Omaha, Nebraska 68175
Phone # (402) 351-5235

Designated Agent(s):

Banks or Depositories

Security National Bank
35th & Farnam
Omaha, Nebraska 68131

Signed: Galen F. Ullstrom
Date Signed: 01/09/2007
Official Committee FAX: 4023515710

(End FEC FORM 1)


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