FEC Form 1 for GAVILON AGRICULTURE INVESTMENT INC POLITICAL ACTION COMMITTEE (GAVPAC)Form 1 for GAVILON AGRICULTURE INVESTMENT INC POLITICAL ACTION COMMITTEE (GAVPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1045671

1. GAVILON AGRICULTURE INVESTMENT INC POLITICAL ACTION COMMITTEE (GAVPAC)

1331 Capitol Avenue
OMAHA, NE 68102
Email: patriciadbradshaw@gmail.com;brian.ternus@gavilon.com

NOTE: Email address is different than previously reported

2. Date: 01/29/2016

3. FEC Committee ID #: C00549873 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Gavilon Agriculture Investment, Inc
1331 Capitol Ave
Omaha, Nebraska 68102
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Patricia Bradshaw
61 Pinehurst Street
Memphis, TN 38117
Title: Custodian of Records
Phone # (202) 258-0999

Treasurer:

Brian Ternus
1331 Capitol Ave
Omaha, Nebraska 68102
Title: Treasurer
Phone # (402) 889-4163

Designated Agent(s):

Lindsay Heilman
1331 Capitol Ave
Omaha, Nebraska 68102
Title: Assistant Treasurer
Phone # (402) 889-4055

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1045671

1. GAVILON AGRICULTURE INVESTMENT INC POLITICAL ACTION COMMITTEE (GAVPAC)

NOTE: Email address is different than previously reported

2. Date: 01/29/2016

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Brian Ternus
Date Signed: 01/29/2016

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1045671

1. GAVILON AGRICULTURE INVESTMENT INC POLITICAL ACTION COMMITTEE (GAVPAC)

NOTE: Email address is different than previously reported

2. Date: 01/29/2016

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Brian Ternus Date Signed: 01/29/2016

(End FEC FORM 1)

Signed: Brian Ternus
Date Signed: 01/29/2016