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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1092549

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1. UniGroup Inc Political Action Committee

    One Premier Drive
    Fenton, MO 63026
    Email: heather_paraino@unigroup.com

    NOTE: Email address is different than previously reported

2. Date: 08/01/2016

3. FEC Committee ID #: C00435909 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

UniGroup, Inc.
One Premier Drive
Fenton, Missouri 63026
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Heather Anne Paraino
One Premier Drive
Fenton, MO 63026
Title: PAC Cust. of Records
Phone # (636) 349-7480

Treasurer:

Lowell B. Stottlemyre
One Premier Drive
Fenton, Missouri 63026
Title: Treasurer
Phone # (636) 349-8507

Designated Agent(s):

Peter J. Amann
One Premier Drive
Fenton, Missouri 63026
Title: Assistant Treasurer
Phone # (636) 349-2792

Banks or Depositories

First Community Credit Union
P. O. Box 1030
Chesterfield, Missouri 63026

Signed: Jan Alonzo
Date Signed: 08/04/2016

FORM TEXT-1

(End FEC FORM 1)

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