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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1346731

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1. Rural Pac

    7900 E. Union, Suite 200
    Denver, CO 80237
    Email: swestphal@fusainsurance.com

2. Date: 08/02/2019

3. FEC Committee ID #: C00478743 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

Farmers Educational & Cooperative Union of America Rocky Mtn Division
7900 E Union Ave, Suite 200
Denver, Colorado 80237
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Shelley R Westphal
7900 Union Ave suite 200
Denver, Colorado 80237
Title: Assistant Treasurer
Phone # (303) 283-3542

Designated Agent(s):

Banks or Depositories

BOK Financial
PO Box 5945
Denver, Colorado 80217

Signed: Shelley R Westphal
Date Signed: 08/02/2019

(End FEC FORM 1)

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