FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1101085
1. CC SERVICES INC COUNTRY POLITICAL ACTION COMMITTEE
1701 N TOWANDA AVENUEPO BOX 2020
BLOOMINGTON, IL 617022020
Email: josh.johnson@countryfinancial.com;brenda.mcqueen@countryfinancial.com
2. Date: 09/22/2016
3. FEC Committee ID #: C00390971 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
CC Services Inc1701 N Towanda Avenue
P.O. Box 2020
Bloomington, Illinois 617022020
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Joshua Johnson1711 G.E. Road
P.O. Box 2020
Bloomington, IL 617022020
Title: Dir. Corp. Complianc
Phone # (309) 821-2101
Treasurer:
Miles Kilcoin1711 G.E. Road
P.O. Box 2020
Bloomington, Illinois 617022020
Title: CFO
Phone # (309) 821-2669
Designated Agent(s):
Brenda McQueen1711 G.E. Road
P.O. Box 2020
Bloomington, Illinois 617022020
Title: Reg. Affairs Coordin
Phone # (309) 821-2410
Miles Kilcoin
1711 G.E. Road
P.O. Box 2020
Bloomington, Illinois 617022020
Title: CFO
Phone # (309) 821-2669
Banks or Depositories
Commerce Bank1339 East Empire St
Bloomington, Illinois 61701