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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-367344

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1. PAYLESS SHOESOURCE INC POLITICAL ACTION COMMITTEE

    3231 E 6TH ST
    PO BOX 1189
    TOPEKA, KS 66607
    Fax: 7852956094
    Email: arlen.zentner@payless.com

2. Date: 10/13/2008

3. FEC Committee ID #: C00319368 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Arlen Russell Zentner
3231 SE Sixth Avenue
Topeka, KS 66607
Title: Treasury Ops Mgr
Phone # (785) 559-6794

Treasurer:

Gary Calvin Madsen
3231 SE Sixth Avenue
Topeka, Kansas 66607
Title: VP - Treasury
Phone # (785) 295-6632

Designated Agent(s):

Banks or Depositories

Kaw Valley State Bank and Trust Compan
1110 North Kansas Avenue
Topeka, Kansas 66608

Signed: Gary Calvin Madsen
Date Signed: 10/13/2008
Official Committee FAX: 7852956094

(End FEC FORM 1)

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