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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1632282

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1. KANSAS CITY SOUTHERN EMPLOYEE PAC

    427 W 12TH STREET
    KANSAS CITY, MO 64105
    Email: bblevins@kcsouthern.com

2. Date: 01/19/2021

3. FEC Committee ID #: C00139451 This committee is a separate segregated fund. Its connected organization is a

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Ms. Barbara Blevins
8424 James A. Reed Road
Raytown, MO 64138
Title: Treasurer
Phone # (816) 356-6252

Treasurer:

Ms. Barbara Blevins
8424 James A. Reed Road
Raytown, Missouri 64138
Title: Treasurer
Phone # (816) 356-6252

Designated Agent(s):

Adam Godderz
427 W. 12th Street
Kansas City, Missouri 64105
Title: SVP Legal
Phone # (816) 983-1603

Banks or Depositories

Country Club Bank
P.O. Box 410889
Kansas City, Missouri 64141

Signed: Ms. Barbara Blevins
Date Signed: 09/23/2022

(End FEC FORM 1)

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