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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1005666

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1. Garney Holding Co. PAC

    1333 NW Vivion Road
    Kansas City, MO 64118
    Email: amy@bespokekc.com

    NOTE: Email address is different than previously reported

2. Date: 04/13/2015

3. FEC Committee ID #: C00442905 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Garney Holding Company, Inc.
1333 NW Vivion Road
Kansas City, Missouri 64118
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Thomas James Roberts
10010 N. Campbell Dr.
Kansas City, MO 64155
Title: Treasurer
Phone # (816) 746-7265

Treasurer:

Thomas James Roberts
10010 N. Campbell Dr.
Kansas City, Missouri 64155
Title: Treasurer
Phone # (816) 746-7265

Designated Agent(s):

Anthony Gerard Kempf
30541 Explorer's Trail
DeSoto, Kansas 66018
Title: Deputy Treasurer
Phone # (816) 741-4600

Banks or Depositories

Commerce Bank
1000 Walnut
Kansas City, Missouri 64118

Signed: Thomas James Roberts
Date Signed: 04/23/2015

(End FEC FORM 1)

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