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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-14048

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1. Community Bankers Association of Illinois FedPac

    901 Community Drive
    Springfield, IL 62703
    Email: ginaw@cbai.com

2. Date: 05/01/2001

3. FEC Committee ID #: C00291914 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Robert J. Wingert
901 Community Drive
Springfield, Illinois 62704

Designated Agent(s):

Banks or Depositories

Signed: Robert J. Wingert
Date Signed: 05/01/2001
Official Committee URL: www.cbai.com

(End FEC FORM 1)

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