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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-834877

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1. BUCKEYE PATRIOT POLITICAL ACTION COMMITTEE

    2525 North Limestone Street
    Suite 103
    Springfield, OH 45503
    Email: djones@cshco.com

2. Date: 11/27/2012

3. FEC Committee ID #: C00239905

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

D. Donald Jones
1936 Wedgewood Circle
Springfield, OH 45503
Title: Treasurer
Phone # (937) 399-2000

Treasurer:

D. Donald Jones
1936 Wedgewood Circle
Springfield, Ohio 45503
Title: Treasurer
Phone # (937) 399-2000

Designated Agent(s):

Banks or Depositories

Huntington National Bank
PO Box 1558
Columbus, Ohio 43216

Morgan Keegan & Co
50 N Front Street
Memphis, Tennessee 38103

Signed: D. Donald Jones
Date Signed: 11/27/2012

(End FEC FORM 1)

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