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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-264878

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1. Rain and Hail Insurance Society Political Action Committee

    9200 Northpark Drive
    Suite 300
    Johnston, IA 50131
    Fax: 5155591001
    Email: ryan.miller@rainhail.com

2. Date: 12/08/2006

3. FEC Committee ID #: C00279505 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Rain and Hail Insurance Society
9200 Northpark Drive
Suite 300
Johnston, Iowa 50131
Relationship: Connected
Organization Type: Trade Association

Custodian of Records:

Nancy Burrier
435 N.E. Pinehurst Circle
Ankeny, IA 50021
Title: Assistant Secretary
Phone # (515) 559-1000

Treasurer:

Ryan Miller
3417 Eula Drive
Urbandale, Iowa 50322
Title: Treasurer
Phone # (515) 559-1000

Designated Agent(s):

Jerry Kincade
P.O. Box 254
Winterset, Iowa 50273
Title: Assistant Treasurer
Phone # (515) 559-1100

Banks or Depositories

West Des Moines State Bank
P.O. Box 65020
West Des Moines, Iowa 502650020

Signed: Ryan Miller
Date Signed: 12/08/2006
Official Committee URL: Not Applicable
Official Committee FAX: 5155591001

(End FEC FORM 1)

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