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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-178487

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1. CBRL Group Inc. PAC

    NOTE:Commmittee Name is different than previously reported

    305 Hartmann Drive Bldg #1
    PO Box 787
    Lebanon, TN 370880787

    NOTE: Address is different than previously reported

    Fax: 615-235-4066
    Email: psheehy@cbrlgroup.com

2. Date: 07/08/2005

3. FEC Committee ID #: C00252791 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

CBRL Group Inc.
PO Box 787
Lebanon, Tennessee 370880787
Relationship: Connected
Organization Type: Corporation

Custodian of Records:

Mr. Patrick Sheehy
305 Hartmann Drive
PO Box 787
Lebanon, TN 370880787
Title: Dir. Gov. Relations
Phone # (615) 235-4161

Treasurer:

Mr. Dwayne Evans
305 Hartmann Drive
PO Box 787
Lebanon, Tennessee 370880787
Title: Restaurant Dist Mgr
Phone # (615) 444-5533

Designated Agent(s):

Banks or Depositories

Wilson Bank & Trust
623 West Main Street
Lebanon, Tennessee 37087

Signed: Mr. Dwayne Evans
Date Signed: 07/08/2005
Official Committee FAX: 615-235-4066

FORM TEXT

(End FEC FORM 1)

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