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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1040919

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1. Missouri Bankers Association Federal PAC

    PO Box 1122
    Jefferson City, MO 65102
    Email: coverfelt@mobankers.com;elewis@mobankers.com

    NOTE: Email address is different than previously reported

2. Date: 01/11/2016

3. FEC Committee ID #: C00172494 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

American Bankers Association BankPAC
1120 Connecticut Ave
Washington, DC 20036
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Craig Overfelt
PO Box 1122
Jefferson City, MO 65102
Title: Sr Vice President
Phone # (573) 636-8151

Treasurer:

Craig Overfelt
PO Box 1122
Jefferson City, Missouri 65102
Title: Sr Vice President
Phone # (573) 636-8151

Designated Agent(s):

Emily Lewis
PO Box 1122
Jefferson City, Missouri 65102
Title: Assistant Treasurer
Phone # (573) 636-8151

Banks or Depositories

Providence Bank
815 W Stadium Blvd
Jefferson City, Missouri 65109

Signed: Craig Overfelt
Date Signed: 01/20/2016

FORM TEXT-1

(End FEC FORM 1)

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