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FEC Form 1 for FBL FINANCIAL GROUP INC PACForm 1 for FBL FINANCIAL GROUP INC PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-313403


1. FBL FINANCIAL GROUP INC PAC

    5400 UNIVERSITY AVE
    WEST DES MOINES, IA 50266
    Fax: 5152254686
    Email: pswinton@fbfs.com

2. Date: 11/19/2007

3. FEC Committee ID #: C00317297 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

FBL Financial Group Inc.
5400 University Avenue
W Des Moines, Iowa 50266
Relationship: Connected org
Organization Type: Corporation

Custodian of Records:

Paul Swinton
5400 University Avenue
W Des Moines, IA 50266
Title: Custodian of Records
Phone # (515) 225-5400

Treasurer:

Rich Kypta
5400 University Ave
W Des Moines, Iowa 50266
Title: Treasurer
Phone # (515) 225-5400

Designated Agent(s):

Jim Brannen
5400 University Avenue
West Des Moines, Iowa 50266
Title: Asst Treasurer
Phone # (515) 225-5400

Banks or Depositories

First American Bank
12333 University Ave
Clive, Iowa 50266

Signed: Rich Kypta
Date Signed: 12/19/2007
Official Committee FAX: 5152254686

(End FEC FORM 1)


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