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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-870052

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1. J. R. Simplot Company Political Action Committee

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

2. Date: 05/08/2013

3. FEC Committee ID #: C00120873 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

J.R. Simplot Company
PO Box 27
Boise, Idaho 837070027
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Mr. Mark Dunn
999 Main Street
Boise, Idaho 83702
Title: Treasurer
Phone # (208) 389-7377

Designated Agent(s):

Banks or Depositories

Wells Fargo Bank
877 W Main St
Boise, Idaho 83702

Signed: Mr. Mark Dunn
Date Signed: 05/08/2013

(End FEC FORM 1)

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