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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-362097

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1. Great Southern Bank Employees Good Government Committee

    1451 East Battlefield
    Springfield, MO 65804
    Fax: 4178954533
    Email: sfarris@greatsouthernbank.com

2. Date: 09/16/2008

3. FEC Committee ID #: C00224147 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Great Southern Bank
218 S Glenstone
Springfield, Missouri 65804
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Stacey Jo Farris
218 S Glenstone
Springfield, MO 65804
Title: Executive Assistant
Phone # (417) 888-4328

Treasurer:

Stacey Jo Farris
218 S Glenstone
Springfield, Missouri 65804
Title: Executive Assistant
Phone # (417) 888-4328

Designated Agent(s):

Teresa Chasteen
1451 East Battlefield
Springfield, Missouri 65804
Title: Director of Marketin
Phone # (417) 887-4400

Banks or Depositories

Great Southern Bank
218 S Glenstone
Springfield, Missouri 65804

Signed: Stacey Jo Farris
Date Signed: 09/16/2008
Official Committee FAX: 4178954533

(End FEC FORM 1)

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