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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-744689

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1. QC Holdings, Inc. Political Action Committee

    9401 Indian Creek Parkway
    Suite 1500
    Overland Park, KS 66210
    Email: tammy.cobb@qchi.com

    NOTE: Email address is different than previously reported

2. Date: 09/14/2011

3. FEC Committee ID #: C00411769 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

QC Holdings, Inc.
9401 Indian Creek Pkwy
Suite1500
Overland Park, Kansas 66210
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Tamara Cobb
9608 W. 118th Street
Apt. 4
Overland Park, KS 66210
Title: Exec Asst.
Phone # (913) 234-5209

Treasurer:

Doug Nickerson
14124 Fontana
Leawood, Kansas 66224
Title: CEO
Phone # (913) 234-5000

Designated Agent(s):

Tamara Cobb
9608 W. 118th Street
Apt. 4
Overland Park, Kansas 66210
Title: Exec Assistant
Phone # (913) 234-5209

Banks or Depositories

US Bank
PO Box 1800
St. Paul, Minnesota 55101

Signed: Doug Nickerson
Date Signed: 09/14/2011

(End FEC FORM 1)

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