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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1534286

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1. American Fidelity Corporation Political Action Committee

    9000 Cameron Parkway
    Oklahoma City, OK 73114
    Email: barry.koonce@americanfidelity.com

2. Date: 07/02/2018

3. FEC Committee ID #: C00210526 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

American Fidelity Corporation
9000 Cameron Parkway
Oklahoma City, Oklahoma 731143701
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Barry K Koonce
9000 Cameron Parkway
Oklahoma City, OK 73114
Title: Secretary
Phone # (405) 416-8627

Treasurer:

John Cassil
9000 Cameron Parkway
Oklahoma City, Oklahoma 73114
Title: Treasurer
Phone # (405) 523-5860

Designated Agent(s):

Barry K Koonce
9000 Cameron Parkway
Oklahoma City, Oklahoma 73114
Title: Secretary
Phone # (405) 416-8627

Banks or Depositories

MidFirst Bank
501 NW Grand Blvd.
Oklahoma City, Oklahoma 73118

Signed: John Cassil
Date Signed: 08/10/2021
Official Committee URL: www.afweb.afg/pac/index.htm

(End FEC FORM 1)

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