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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-443021

1. BLACK HILLS CORPORATION POLITICAL ACTION COMMITTEE

    PO BOX 1400
    RAPID CITY, SD 57709
    Email: MaryAnne.Wingert@blackhillscorp.com

2. Date: 12/21/2009

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

Affiliated Committees/Organizations

Black Hills Corporation
625 Ninth Street
Rapid City, South Dakota 57701
Affiliated Relationship Code: Connected Organization

Custodian of Records:

MaryAnne Wingert
45 Nebraska Street
Rapid City, SD 57701

Treasurer:

MaryAnne Wingert
45 Nebraska Street
Rapid City, South Dakota 57701

Designated Agent(s):

MaryAnne Wingert
45 Nebraska Street
Rapid City, South Dakota 57701

Banks or Depositories

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

Signed: MaryAnne Wingert
Date Signed: 12/22/2009

(End FEC FORM 1)


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