FEC Form 1 for American Family Mutual Insurance Company Federal PAC (AMFAM PAC)Form 1 for American Family Mutual Insurance Company Federal PAC (AMFAM PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-407256

1. American Family Mutual Insurance Company Federal PAC (AMFAM PAC)

6000 American Parkway
Madison, WI 53783
Email: politicalaction@amfam.com

2. Date: 03/11/2009

3. FEC Committee ID #: C00354290 This committee is a separate segregated fund. Its connected organization is a Corporation
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Committee ID# C00354290
American Family Mutual Insurance Co.
6000 American Parkway
Madison, Wisconsin 53783
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Stacy Namio
6000 American Parkway
Madison, WI 53783
Title: Custodian of Records
Phone # (608) 249-2111

Treasurer:

Heidi Krumenauer
6000 American Pkwy
Madison, Wisconsin 53783
Title: Treasurer
Phone # (608) 249-2111

Designated Agent(s):

Lee Fanshaw
6000 American Parkway
Madison, Wisconsin 53783
Title: Assistant Treasurer
Phone # (608) 249-2111

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-407256

1. American Family Mutual Insurance Company Federal PAC (AMFAM PAC)

2. Date: 03/11/2009

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Heidi Krumenauer
Date Signed: 03/11/2009

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-407256

1. American Family Mutual Insurance Company Federal PAC (AMFAM PAC)

2. Date: 03/11/2009

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Heidi Krumenauer Date Signed: 03/11/2009

(End FEC FORM 1)

Signed: Heidi Krumenauer
Date Signed: 03/11/2009