FEC Form 1 for VALMONT INDUSTRIES (INC) POLITICAL ACTION COMMITTEEForm 1 for VALMONT INDUSTRIES (INC) POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-287304

1. VALMONT INDUSTRIES (INC) POLITICAL ACTION COMMITTEE

ONE VALMONT PLAZA
OMAHA, NE 68154
Fax: 4029631046
Email: valmontpac@valmont.com

2. Date: 04/30/2007

3. FEC Committee ID #: C00152843 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Committee ID# C00152843
VALMONT INDUSTRIES (INC) POLITICAL ACTION COMMITTEE
ONE VALMONT PLAZA
OMAHA, Nebraska 68154
Relationship: Connected Organizati
Organization Type: Corporation

Custodian of Records:

Treasurer:

Mr. Mark Jaksich
One Valmont Plaza
Omaha, Nebraska 681545215

Designated Agent(s):

Mr. Mark Jaksich
One Valmont Plaza
Omaha, Nebraska 681545215
Title: Controller
Phone # (402) 963-1040

Banks or Depositories

US Bank
P.O. Box 64799
Saint Paul, Minnesota 55164

Signed: Mr. Mark Jaksich
Date Signed: 04/30/2007
Official Committee FAX: 4029631046

(End FEC FORM 1)

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