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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-230061

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1. Great West Casualty Company Employee & Agent PAC

    P.O. Box 84550
    Lincoln, NE 68501
    Fax: 4023233094
    Email: lcarroll@usxpress.com

2. Date: 07/21/2006

3. FEC Committee ID #: C00326496 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Committee ID# C00326496
Great West Casualty Company Employee & Agent PAC
P.O. Box 84550
Lincoln, Nebraska 68501
Relationship: connected
Organization Type: Corporation

Custodian of Records:

Treasurer:

, ____

Designated Agent(s):

Banks or Depositories

Siouxland National Bank
P.O. Box 987
South Sioux City, Nebraska 687760987

Signed: David R. Parker
Date Signed: 07/21/2006
Official Committee FAX: 4023233094

(End FEC FORM 1)

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