FEC Form 1 for Community Bankers Association of Illinois FedPacForm 1 for Community Bankers Association of Illinois FedPac

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-94500

1. Community Bankers Association of Illinois FedPac

901 Community Drive
Springfield, IL 62703
Fax: 2175299484
Email: ginaw@cbai.com

2. Date: 08/27/2003

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

Affiliated Committees/Organizations

Community Bankers Assoc. of Illinois
901 Community Drive
Springfield, Illinois 62703
Relationship: Connected
Organization Type: Trade Association

Independent Community Bankers of Ameri
One Thomas Circle NW
Suite 400
Washington, DC 20005
Relationship: Affiliated
Organization Type: Trade Association

Custodian of Records:

Gina Wiseman
901 Community Drive
Springfield, IL 62703
Title: Custodian of Records
Phone # (217) 529-2265

Treasurer:

Robert J. Wingert
901 Community Drive
Springfield, Illinois 62703
Title: Treasurer
Phone # (217) 529-2265

Designated Agent(s):

Banks or Depositories

Alpha Community Bank
201 N. Main Street
Toluca, Illinois 61369

Signed: Robert J. Wingert
Date Signed: 08/28/2003
Official Committee FAX: 2175299484

(End FEC FORM 1)

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