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FEC Form 1 for Principal Life Insurance Company Political Action CommitteeForm 1 for Principal Life Insurance Company Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-792860


1. Principal Life Insurance Company Political Action Committee

    711 High Street
    Government Relations
    Des Moines, IA 503920220
    Email: kempkes.jill@principal.com

2. Date: 07/01/2012

3. FEC Committee ID #: C00128918 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

Principal Life Insurance Company
711 High St.
Des Moines, Iowa 503920220
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Jill E. R. Kempkes
711 High Street
S-006-N20
Des Moines, IA 503920220
Phone # (515) 248-3047

Treasurer:

Susan Jordan
711 High Street
Des Moines, Iowa 503925500
Title: Treasurer
Phone # (515) 235-9493

Designated Agent(s):

Merle T Pederson
711 High Street
S-006-N24
Des Moines, Iowa 503920220
Phone # (515) 248-2186

Banks or Depositories

Principal Bank
P.O. Box 9351
Des Moines, Iowa 503069467

Signed: Mrs. Susan Jordan
Date Signed: 07/02/2012

(End FEC FORM 1)


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