FEC Form 1 for J. R. Simplot Company Political Action CommitteeForm 1 for J. R. Simplot Company Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-410462

1. J. R. Simplot Company Political Action Committee

999 Main Street
Boise, ID 83702
Email: frances.hepper@simplot.com

2. Date: 03/20/2009

3. FEC Committee ID #: C00120873 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

J.R. Simplot Company
PO Box 27
Boise, Idaho 83707
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Mr. Mark Dunn
999 Main Street
Boise, Idaho 83702
Title: Treasurer
Phone # (208) 389-7300

Designated Agent(s):

Mr. Mark Dunn
999 Main Street
Boise, Idaho 83702
Title: Treasurer
Phone # (208) 389-7300

Banks or Depositories

Wells Fargo Bank
877 W Main St
Boise, Idaho 83702

Signed: Mr. Mark Dunn
Date Signed: 03/30/2009
Official Committee URL: simplot.com

(End FEC FORM 1)

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