FEC Form 1 for I.P.H.F.H.A. Inc. Political Action Committee Inc.Form 1 for I.P.H.F.H.A. Inc. Political Action Committee Inc.

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-111116

1. I.P.H.F.H.A. Inc. Political Action Committee Inc.

7829 E. Rockhill #201
WICHITA, KS 67206
Fax: 3166852591
Email: bjeskie@iphfha.com

2. Date: 03/09/2004

3. FEC Committee ID #: C00251447 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Beverly Jeskie
7309 E 32nd Ct N
Wichita, KS 67226
Title: PAC Analyst/Manager
Phone # (316) 685-1208

Treasurer:

Chris W Prater
7829 E Rockhill #201
Wichita, Kansas 67278
Title: Asst. Treasurer
Phone # (316) 685-1208

Designated Agent(s):

Chris W Prater
7829 E Rockhill #201
Wichita, Kansas 67278
Title: Asst Treasurer
Phone # (316) 685-1208

Jackie Kreeger
630 Elm
Miami, Oklahoma 74354
Title: PAC Chairwoman
Phone # (918) 542-6642

Samuel Brad Leonard
10 Still Dr.
Clarion, Pennsylvania 16214
Title: PAC Treasurer
Phone # (814) 226-0260

Beverly Jeskie
7309 E 32nd Ct N
Wichita, Kansas 67226
Title: PAC Analyst/Manager
Phone # (316) 685-1208

Banks or Depositories

Signed: Chris W Prater
Date Signed: 03/09/2004
Official Committee FAX: 3166852591

(End FEC FORM 1)

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