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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-745503

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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: 09/20/2011

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

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Thomas J. Dahl
5722 Noland Rd
Shawnee, KS 66216
Title: Treasurer
Phone # (816) 741-4488

Treasurer:

Thomas J. Dahl
5722 Noland Rd
Shawnee, Kansas 66216
Title: Treasurer
Phone # (816) 741-4488

Designated Agent(s):

Banks or Depositories

Bank of America
2728 NW Vivion Road
Kansas City, Missouri 64118

Signed: Thomas J. Dahl
Date Signed: 09/20/2011

(End FEC FORM 1)

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