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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-268507

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1. MICHIGAN FARM BUREAU POLITICAL ACTION COMMITTEE

    7373 W. SAGINAW HIGHWAY
    P.O. BOX 30960
    LANSING, MI 489177900
    Fax: 5173230230
    Email: dewald@michfb.com

2. Date: 01/11/2007

3. FEC Committee ID #: C00096362 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

DOUGLAS A EWALD
7373 WEST SAGINAW HWY
LANSING, MI 48917
Title: SECRETARY
Phone # (517) 323-7000

Treasurer:

Mr. JOHN VANDER MOLEN
7373 WEST SAGINAW HIGHWAY
P.O. BOX 30960
LANSING, Michigan 48909

Designated Agent(s):

DOUGLAS A EWALD
7373 WEST SAGINAW HWY
LANSING, Michigan 48917
Title: ASSISTANT TREASURER
Phone # (517) 323-7000

Banks or Depositories

Signed: Mr. JOHN VANDER MOLEN
Date Signed: 01/11/2007
Official Committee FAX: 5173230230

(End FEC FORM 1)

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