FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-131137
1. KUTAK ROCK LLP POLITICAL ACTION COMMITTEE
1801 California StreetSuite 3100
DENVER, CO 80202
Fax: 3032927799
Email: gary.ceballos@kutakrock.com
2. Date: 08/16/2004
3. FEC Committee ID #: C00160986This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
Affiliated Committees/Organizations
None
, ____
Custodian of Records:
Mr. Gary Ceballos
1801 California Street
Suite 3100
Denver, CO 80202
Title: Treasurer
Phone # (303) 297-2400
Treasurer:
Mr. Gary Ceballos
1801 California Street
Suite 3100
Denver, Colorado 80202
Title: Treasurer
Phone # (303) 297-2400
Designated Agent(s):
Banks or Depositories
First National Bank of Omaha
1620 Dodge Street
Omaha, Nebraska 68197
Signed: Mr. Gary Ceballos
Date Signed: 08/16/2004
Official Committee FAX: 3032927799
(End FEC FORM 1)
Date Signed: 08/16/2004
Official Committee FAX: 3032927799