FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1135950
1. Shelter Mutual Insurance Company Federal PAC
1817 West BroadwayColumbia, MO 65218
Email: skgilpin@shelterinsurance.com;bwaller@shelterinsurance.com
NOTE: Email address is different than previously reported
2. Date: 12/22/2016
3. FEC Committee ID #: C00140384This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
In addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
Committee ID# C00140384
Shelter Mutual Insurance Company Federal PAC
1817 West Broadway
Columbia, Missouri 65218
Affiliated Relationship Code: Connected Organization
Custodian of Records:
S Daniel Clapp
4410 Glen Eagle Dr
Columbia, MO 65203
Title: Treasurer
Phone # (573) 214-4790
Treasurer:
S Daniel Clapp
4410 Glen Eagle Dr
Columbia, Missouri 65203
Title: Treasurer
Phone # (573) 214-4790
Designated Agent(s):
S Daniel Clapp
4410 Glen Eagle Dr
Columbia, Missouri 65203
Banks or Depositories
Shelter Insurance Federal Credit Union
1817 West Broadway
Columbia, Missouri 65218
Signed: S Daniel Clapp
Date Signed: 12/22/2016
(End FEC FORM 1)
Date Signed: 12/22/2016