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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1344145

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1. Siouxland Energy & Livestock Cooperative PAC

    3890 Garfield Avenue
    Sioux Center, IA 51250
    Email: bobmarvg@gmail.com;mbaedke@siouxlandenergy.com

    NOTE: Email address is different than previously reported

2. Date: 05/19/2010

3. FEC Committee ID #: C00410597 This committee is a separate segregated fund. Its connected organization is a Cooperative

Affiliated Committees/Organizations

Siouxland Energy Cooperative
3890 Garfield Ave.
Sioux Center, Iowa 51250
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Bob Van Gelder
5060 Jackson Ave
Alton, IA 51003
Title: Treasurer
Phone # (712) 737-8547

Treasurer:

Bob Van Gelder
5060 Jackson Ave
Alton, Iowa 51003
Title: Treasurer
Phone # (712) 737-8547

Designated Agent(s):

Michael Baedke
3890 Garfield Ave
Sioux Center, Iowa 51250
Title: Assistant Treasurer
Phone # (712) 722-4904

Banks or Depositories

American State Bank
525 North Main Avenue
Sioux Center, Iowa 51250

Signed: Bob Van Gelder
Date Signed: 07/26/2019

(End FEC FORM 1)

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