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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-919734

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1. Cerner Corporation PAC

    NOTE:Commmittee Name is different than previously reported

    2800 Rockcreek Parkway
    Kansas City, MO 64117
    Email: Andie.Young@Cerner.com

2. Date: 08/26/2013

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 Pkwy
Kansas City, Missouri 641172521
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Andrea Young
2800 Rockcreek Pkwy
Kansas City, MO 641172521
Title: Custodian of Records
Phone # (816) 201-3168

Treasurer:

Marc G Naughton
2800 Rockcreek Pkwy
Kansas City, Missouri 641172521
Title: Treasurer
Phone # (816) 201-1989

Designated Agent(s):

Andrea Young
2800 Rockcreek Pkwy
Kansas City, Missouri 641172521
Title: Custodian of Records
Phone # (816) 201-3168

Banks or Depositories

US Bank
800 Nicollet Mall
Minneapolis, Minnesota 55402

Signed: Marc G Naughton
Date Signed: 04/15/2014
Official Committee URL: www.cerner.com

(End FEC FORM 1)

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