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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1250261

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1. SCOT FORGE COMPANY POLITICAL ACTION COMMITTEE

    8001 WINN ROAD
    SPRING GROVE, IL 60081
    Email: amyblunt@hbstrategies.us

2. Date: 07/19/2018

3. FEC Committee ID #: C00580589 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Scot Forge Company
8001 Winn Road
Spring Grove, Illinois 60081
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Ms Stacy Evans
8001 Winn Road
Spring Grove, IL 60081
Title: Custodian of Records
Phone # (815) 675-4231

Treasurer:

Ronald Hahn
8001 Winn Road
Spring Grove, Illinois 60081
Title: Treasurer
Phone # (800) 435-6621

Designated Agent(s):

Mr. John Cain
8001 Winn Road
Spring Grove, Illinois 60081
Title: Deputy Treasuer
Phone # (800) 435-6621

Banks or Depositories

BMO Harris Bank
770 N Water St.
Milwaukee, Wisconsin 53202

Signed: Ronald Hahn
Date Signed: 07/19/2018

(End FEC FORM 1)

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