09/25/2019 15 : 10 Image# 201909259163564104 PAGE 1 / 4 STATEMENT OF ORGANIZATION FEC FORM 1 Office Use Only 1. NAME OF COMMITTEE (in full) (Check if name is changed) Example: If typing, type over the lines. 12FE4M5 Ahlers for Senate 913 N. Washington Ave. ADDRESS (number and street) (Check if address is changed) Dell Rapids 57022 SD CITY STATE ZIP CODE ▼ ▼ ▼ ▼ COMMITTEE'S E-MAIL ADDRESS ▼ ahlersforsenate2020@gmail.com (Check if address is changed) Optional Second E-Mail Address danahlers1973@gmail.com COMMITTEE'S WEB PAGE ADDRESS (URL) ▼ (Check if address is changed) danahlers.com M M / D D / Y Y Y Y 3. 09 24 2019 FEC IDENTIFICATION NUMBER 4. IS THIS STATEMENT ✘ ▼ 2. DATE NEW (N) C OR C00720623 AMENDED (A) I certify that I have examined this Statement and to the best of my knowledge and belief it is true, correct and complete. Type or Print Name of Treasurer Signature of Treasurer Beddow, Jean, , , Beddow, Jean, , , M M / D D / Y Y Y Y [Electronically Filed] Date 09 25 2019 NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Statement to the penalties of 2 U.S.C. §437g. ANY CHANGE IN INFORMATION SHOULD BE REPORTED WITHIN 10 DAYS. Office Use Only For further information contact: Federal Election Commission Toll Free 800-424-9530 Local 202-694-1100 FEC FORM 1 (Revised 06/2012) Image# 201909259163564105 Page 2 FEC Form 1 (Revised 02/2009) 5. TYPE OF COMMITTEE Candidate Committee: (a) ✘ (b) This committee is a principal campaign committee. (Complete the candidate information below.) This committee is an authorized committee, and is NOT a principal campaign committee. (Complete the candidate information below.) Name of Candidate Ahlers, Dan, Paul, , Candidate Party Affiliation State Office Sought: DEM House ✘ Senate President District (c) SD 00 This committee supports/opposes only one candidate, and is NOT an authorized committee. Name of Candidate Party Committee: (d) This committee is a (National, State or subordinate) committee of the (Democratic, Republican, etc.) Par ty. Political Action Committee (PAC): (e) This committee is a separate segregated fund. (Identify connected organization on line 6.) Its connected organization is a: Cor poration Cor poration w/o Capital Stock Labor Organization Membership Organization Trade Association Cooperative In addition, this committee is a Lobbyist/Registrant PAC. (f) This committee supports/opposes more than one Federal candidate, and is NOT a separate segregated fund or party committee. (i.e., nonconnected committee) In addition, this committee is a Lobbyist/Registrant PAC. In addition, this committee is a Leadership PAC. (Identify sponsor on line 6.) Joint Fundraising Representative: (g) This committee collects contributions, pays fundraising expenses and disburses net proceeds for two or more political committees/organizations, at least one of which is an authorized committee of a federal candidate. (h) This committee collects contributions, pays fundraising expenses and disburses net proceeds for two or more political committees/organizations, none of which is an authorized committee of a federal candidate. Committees Participating in Joint Fundraiser 1. FEC ID number C 2. FEC ID number C 3. FEC ID number C 4. FEC ID number C Image# 201909259163564106 FEC Form 1 (Revised 02/2009) Page 3 Write or Type Committee Name Ahlers for Senate 6. Name of Any Connected Organization, Affiliated Committee, Joint Fundraising Representative, or Leadership PAC Sponsor NONE Mailing Address CITY Relationship: 7. Connected Organization Affiliated Committee ZIP CODE STATE Joint Fundraising Representative Leadership PAC Sponsor Custodian of Records: Identify by name, address (phone number -- optional) and position of the person in possession of committee books and records. Full Name Mailing Address Title or Position CITY STATE ZIP CODE Telephone number 8. Treasurer: List the name and address (phone number -- optional) of the treasurer of the committee; and the name and address of any designated agent (e.g., assistant treasurer). Full Name of Treasurer Mailing Address Beddow, Jean, , , 2520 S. Main Ave. Sioux Falls Title or Position Treasurer 57105 SD CITY STATE Telephone number ZIP CODE 605 357 8110 Image# 201909259163564107 FEC Form 1 (Revised 02/2009) Page 4 Full Name of Designated Agent Mailing Address CITY STATE ZIP CODE Title or Position Telephone number 9. Banks or Other Depositories: List all banks or other depositories in which the committee deposits funds, holds accounts, rents safety deposit boxes or maintains funds. Name of Bank, Depository, etc. First Bank & Trust Mailing Address 110 N. Minnesota Ave. #100 SD Sioux Falls 57104 CITY STATE ZIP CODE CITY STATE ZIP CODE Name of Bank, Depository, etc. Mailing Address