FEC Form 1 for National Association of Wheat Growers Political Action Committee (WheatPAC)Form 1 for National Association of Wheat Growers Political Action Committee (WheatPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-168624

1. National Association of Wheat Growers Political Action Committee (WheatPAC)

415 2nd Street NE
Suite 300
Washington, DC 20002

2. Date: 02/16/2005

3. FEC Committee ID #: C00139964 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Mr. Daren Coppock
200 W. Marshall St.
Falls Church, Virginia 22046
Title: Treasurer
Phone # (202) 457-7800

Designated Agent(s):

Mr. Daren Coppock
200 W. Marshall St.
Falls Church, Virginia 22046
Title: Treasurer
Phone # (202) 547-7800

Banks or Depositories

Signed: Mr. Daren Coppock
Date Signed: 03/23/2005

(End FEC FORM 1)

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