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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1057843

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1. Missouri Farm Bureau Federation Federal PAC

    701 South Country Club Drive
    Jefferson City, MO 65109
    Email: dcassidy@mofb.com

2. Date: 04/01/2016

3. FEC Committee ID #: C00613489 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

Committee ID# C00038968
MISSOURI FARM BUREAU FEDERATION FARM PAC, WEST CENTRAL DISTRICT
32643 HIGHWAY E
GREEN RIDGE, Missouri 65332
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00040428
MISSOURI FARM BUREAU FARM PAC, NORTHWE
506 MACADEE STREET
MAYSVILLE, Missouri 64469
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00089839
MISSOURI FARM BUREAU FARM PAC, SOUTHEA
178 DAVID
JACKSON, Missouri 63755
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00093898
MISSOURI FARM BUREAU FARM PAC, SOUTHWE
5863 W. STATE HIGHWAY 76
ANDERSON, Missouri 648318129
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00170944
MISSOURI FARM BUREAU FARM PAC, ST LOUI
5520 HIGHWAY 94
ST. CHARLES, Missouri 63301
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00405761
MISSOURI FARM BUREAU FEDERATION STATEW
106 E. LOCUST STREET
BOWLING GREEN, Missouri 63334
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00528745
MISSOURI FARM BUREAU FEDERATION FARM-P
15553 HWY 23
ALMA, Missouri 64001
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00529990
MISSOURI FARM BUREAU FARM-PAC EAST CEN
3804 DISSEN ROAD
NEW HAVEN, Missouri 63068
Affiliated Relationship Code: Affiliated Committee

Missouri Farm Bureau Federation
701 South Country Club Drive
Jefferson City, Missouri 65109
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Daniel Cassidy
701 South Country Club Drive
Jefferson City, MO 65109
Title: Deputy Treasurer
Phone # (573) 893-1404

Treasurer:

James Koepke
2244 Hog Trough Road
Cuba, Missouri 65453
Title: Treasurer
Phone # (573) 437-2047

Designated Agent(s):

Daniel Cassidy
701 South Country Club Drive
Jefferson City, Missouri 65109
Title: Deputy Treasurer
Phone # (573) 893-1404

Banks or Depositories

Central Bank
238 Madison Street
Jefferson City, Missouri 65101

Signed: James Koepke
Date Signed: 04/01/2016

(End FEC FORM 1)

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