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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-913649

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1. Michigan Sugar Company Growers Political Action Committee

    NOTE:Commmittee Name is different than previously reported

    2600 South Euclid Avenue
    Bay City, MI 48706
    Email: sherri.adams@michigansugar.com;sherri.adams@michigansugar.com

2. Date: 03/24/2014

3. FEC Committee ID #: C00384354 This committee is a separate segregated fund. Its connected organization is a Cooperative

Affiliated Committees/Organizations

Michigan Sugar Company
22600 South Euclid Avenue
Bay City, Michigan 48706
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Ray VanDriessche
2600 South Euclid Avenue
Bay City, Michigan 48706
Title: Treasurer
Phone # (989) 686-1549

Designated Agent(s):

Banks or Depositories

First Merit Bank
328 S. Saginaw Street
Flint, Michigan 48502

Signed: Ray VanDriessche
Date Signed: 03/24/2014

(End FEC FORM 1)

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