FEC Form 1 for Ash Grove Cement Political Action CommitteeForm 1 for Ash Grove Cement Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-787892

1. Ash Grove Cement Political Action Committee

P.O. Box 25900
Overland Park, KS 66225
Email: erin.shannon@ashgrove.com

2. Date: 05/31/2012

3. FEC Committee ID #: C00102517 This committee is a separate segregated fund. Its connected organization is a Corporation
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Committee ID# C00102517
Ash Grove Cement Political Action Committee
P.O. Box 25900
Overland Park, Kansas 66225
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Erin Shannon
11011 Cody
Overland Park, KS 66210
Title: Legal Asst.
Phone # (913) 319-6123

Treasurer:

Mr. Kim R. Beachner
2521 SW 10th Street
Lee's Summit, Missouri 64081
Title: Treasurer
Phone # (913) 319-6153

Designated Agent(s):

Mr. Stephen M Ryan
12701 Birch
Leawood, Kansas 66209
Title: VP& Gen. Counsel
Phone # (913) 319-6126

Banks or Depositories

Bank of America
1200 Main St.
Kansas City, Missouri 64105

Signed: Mr. Kim R. Beachner
Date Signed: 05/31/2012
Official Committee URL: www.ashgrove.com

(End FEC FORM 1)

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