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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-80301

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1. American Agrisurance Association PAC

    NOTE:Commmittee Name is different than previously reported

    One Massachusetts Ave. NW
    Suite 800
    Washington, DC 20001

    NOTE: Address is different than previously reported

    Email: dnixon@mwmlaw.com

2. Date: 04/03/2003

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

Affiliated Committees/Organizations

Custodian of Records:

Mr. Michael R. McLeod
One Massachusetts Ave. NW
Suite 800
Washington, DC 20001
Title: Treasurer
Phone # (202) 842-2345

Treasurer:

Mr. Michael R. McLeod
One Massachusetts Ave. NW
Suite 800
Washington, DC 20001
Title: Treasurer
Phone # (202) 842-2345

Designated Agent(s):

Banks or Depositories

US Bank
PO Box 1800
Saint Paul, Minnesota 55101

Signed: Mr. Michael R. McLeod
Date Signed: 04/03/2002

(End FEC FORM 1)

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