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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-23012

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1. AMERICAN AGRISURANCE ASSOCIATION PAC

    NOTE:Commmittee Name is different than previously reported

    535 WEST BROADWAY
    535 WEST BROADWAY SUITE 300
    COUNCIL BLUFFS, IA 51502
    Email: jscherle@amag.com

2. Date: 01/04/2002

3. FEC Committee ID #: C00259135 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

John Scherle

Treasurer:

Bill Baxter
, ____

Designated Agent(s):

Banks or Depositories

Signed: Bill Baxter
Date Signed: 01/04/2002

(End FEC FORM 1)

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