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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1081516

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1. BLACK HILLS CORPORATION POLITICAL ACTION COMMITTEE

    PO BOX 1400
    RAPID CITY, SD 57709
    Email: Tom.Goodrich@blackhillscorp.com;Brianne.Lindblom@blackhillscorp.com

    NOTE: Email address is different than previously reported

2. Date: 07/07/2016

3. FEC Committee ID #: C00125732 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Black Hills Corporation
PO Box 1400
Rapid City, South Dakota 57709
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Thomas P. Goodrich
2508 Jack Pine Drive
Rapid City, SD 57703

Treasurer:

Thomas P. Goodrich
2508 Jack Pine Drive
Rapid City, South Dakota 57703

Designated Agent(s):

Thomas P. Goodrich
2508 Jack Pine Drive
Rapid City, South Dakota 57703

Banks or Depositories

Wells Fargo Bank, N.A.
PO Box 5128
Sioux Falls, South Dakota 571175128

Signed: Thomas P. Goodrich
Date Signed: 07/07/2016

(End FEC FORM 1)

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