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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-870826

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1. I.P.H.F.H.A. INC. POLITICAL ACTION COMMITTEE INC.

    7829 E. Rockhill #201
    WICHITA, KS 67206
    Email: bjeskie@iphfha.com;katiekirkkirk@gmail.com

    NOTE: Email address is different than previously reported

2. Date: 05/14/2013

3. FEC Committee ID #: C00251447 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

I.P.H.F.H.A. INC.
7829 E ROCKKHIL ST STE 201
WICHITA, Kansas 67206
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Beverly Jeskie
7829 E Rockhill St Ste 201
Wichita, KS 67206
Title: Sr. Analyst
Phone # (316) 685-1208

Treasurer:

Katherine Kirk
7829 E Rockhill St Ste 200
Wichita, Kansas 67206
Title: PAC Treasurer
Phone # (772) 532-7488

Designated Agent(s):

Mary Adolf
7829 E Rockhill St Ste 201
Wichita, Kansas 67206
Title: Asst. PAC Treasurer
Phone # (316) 685-1208

Banks or Depositories

Bank of America
PO Box 4
Wichita, Kansas 67201

Signed: Mary Adolf
Date Signed: 05/14/2013

(End FEC FORM 1)

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