FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-843268
1. MICHIGAN FARM BUREAU POLITICAL ACTION COMMITTEE
7373 W. SAGINAW HIGHWAYP.O. BOX 30960
LANSING, MI 489177900
Email: SBLACK@MICHFB.COM
2. Date: 12/28/2012
3. FEC Committee ID #: C00096362 This committee is a separate segregated fund. Its connected organization is a Membership OrganizationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
MICHIGAN FARM BUREAU7373 W. SAGINAW HWY.,
P.O. BOX 30960
LANSING, Michigan 489098460
Affiliated Relationship Code: Connected Organization
Custodian of Records:
PAULA M DROSTE7373 W SAGINAW HIGHWAY
PO BOX 30960
LANSING, MI 489098460
Title: DIR OF FINANCIAL SVC
Phone # (517) 323-7000
Treasurer:
SCOTT PIGGOTT7373 W SAGINAW HWY
BOX 30960
LANSING, Michigan 48909
Title: TREASURER
Phone # (517) 323-7000
Designated Agent(s):
SARAH BLACK7373 W SAGINAW
LANSING, Michigan 48917
Title: ASSISTANT TREASURER
Phone # (517) 323-7000
Banks or Depositories
FARM BUREAU FAMILY CREDIT UNIONP.O. BOX 30960
LANSING, Michigan 489098460