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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-781022

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1. Cerner Corporation

    2800 Rockcreek Parkway
    Kansas City, MO 64117
    Email: Carrie.Sherer@cerner.com

    NOTE: Email address is different than previously reported

2. Date: 04/02/2012

3. FEC Committee ID #: C00410589 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Cerner Corporation
2800 Rockcreek Parkway
Kansas City, Missouri 641172521
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Carrie Sherer
2800 Rockcreek Parkway
Kansas City, MO 641172521
Title: Custodian of Records
Phone # (816) 201-2646

Treasurer:

Marc Naughton
Cerner Corporation
2800 Rockcreek Parkway
Kansas City, Missouri 641172521
Title: Treasurer

Designated Agent(s):

Carrie Sherer
2800 Rockcreek Parkway
Kansas City, Missouri 641172521
Title: Custodian of Records
Phone # (816) 201-2646

Banks or Depositories

US Bank
800 Nicollet Mall
Minneapolis, ____ 554020.00

Signed: Marc Naughton
Date Signed: 04/27/2012
Official Committee URL: www.cerner.com

(End FEC FORM 1)

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