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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-336509

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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: sblack@michfb.com

2. Date: 04/04/2008

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

Affiliated Committees/Organizations

MICHIGAN FARM BUREAU
7373 WEST SAGINAW
LANSING, Michigan 48917
Relationship: CONNECTED
Organization Type: Membership Organization

Custodian of Records:

PATRICIA M COTTER
7373 W SAGINAW
LANSING, MI 48917
Title: DIR FINANCIAL SERVIC
Phone # (517) 323-7000

Treasurer:

Mr. JOHN VANDER MOLEN
7373 WEST SAGINAW HIGHWAY
P.O. BOX 30960
LANSING, Michigan 48909
Title: TREASURER
Phone # (517) 323-7000

Designated Agent(s):

SARAH BLACK
7373 W SAGINAW
LANSING, Michigan 48917
Title: ASSISTANT TREASURER
Phone # (517) 323-7000

Banks or Depositories

FARM BUREAU FAMILY CREDIT UNION
7373 W SAGINAW
LANSING, Michigan 48917

Signed: Mr. JOHN VANDER MOLEN
Date Signed: 04/28/2008
Official Committee FAX: 5173230230

FORM TEXT

(End FEC FORM 1)

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