FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-761267
1. CUNA Mutual Holding Company Political Action Committee (CUNA Mutual PAC)
NOTE:Commmittee Name is different than previously reported
5910 Mineral Point Rd, PO Box 747Mail Stop 5910 4 A2
Madison, WI 537010747
Email: christopher.roe@cunamutual.com
2. Date: 02/01/2012
3. FEC Committee ID #: C00402107 This committee is a separate segregated fund. Its connected organization is a CorporationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
CUNA Mutual Holding Company5910 Mineral Point Road
Madison, Wisconsin 53705
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Christopher P. Roe2 Hawk Feather Cir
Madison, WI 53717
Title: SVP
Treasurer:
Christopher P. Roe2 Hawk Feather Cir
Madison, Wisconsin 53717
Title: SVP
Designated Agent(s):
Banks or Depositories
Summit Credit Union401 South Yellowstone Drive
Madison, Wisconsin 53719