FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-359113
1. SHELTER MUTUAL INSURANCE COMPANY FEDERAL PAC
1817 WEST BROADWAYCOLUMBIA, MO 65218
Fax: 5734465730
Email: swoodbury@shelterinsurance.com
2. Date: 08/21/2008
3. FEC Committee ID #: C00140384 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
Shelter Mutual Insurance Company1817 West Broadway
Columbia, Missouri 652180001
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Tina M Workman1817 West Broadway
Columbia, MO 65218
Title: Treasurer
Phone # (573) 214-4574
Treasurer:
Tina M Workman1817 West Broadway
Columbia, Missouri 65218
Title: Treasurer
Phone # (573) 214-4574
Designated Agent(s):
Tina M Workman1817 West Broadway
Columbia, Missouri 65218
Title: Treasurer
Phone # (573) 214-4574
Banks or Depositories
Shelter Financial Bank1817 West Broadway
Columbia, Missouri 65218