FEC Form 1 for BLACK HILLS CORPORATION POLITICAL ACTION COMMITTEEForm 1 for BLACK HILLS CORPORATION POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1518463

1. BLACK HILLS CORPORATION POLITICAL ACTION COMMITTEE

PO Box 1400
7001 Mt. Rushmore Road
Rapid City, SD 577091400
Email: Leah.Richter@blackhillscorp.com

2. Date: 05/28/2021

3. FEC Committee ID #: C00125732 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

Black Hills Corporation
PO Box 1400
Rapid City, South Dakota 577091400
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Leah Richter
PO Box 1400
Rapid City, SD 577091400
Title: Custodian of Records
Phone # (605) 721-2254

Treasurer:

Leah Richter
PO Box 1400
Rapid City, South Dakota 577091400
Title: Treasurer
Phone # (605) 721-2254

Designated Agent(s):

Brooks Koenig
PO Box 1400
Rapid City, South Dakota 577091400
Title: Assistant Treasurer
Phone # (605) 399-5099

Banks or Depositories

Wells Fargo Bank, N.A.
420 Montgomery Street
San Francisco, California 94104

Signed: Leah Richter
Date Signed: 06/02/2021

FORM TEXT-1

(End FEC FORM 1)

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