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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-99566

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1. Buckeye State PAC

    PO Box 29343
    Columbus, OH 43229
    Email: buckeyestatepac@yahoo.com

2. Date: 11/12/2003

3. FEC Committee ID #: C00366781

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

Affiliated Committees/Organizations

Custodian of Records:

Ms. Kristen Stapleton
110 Wilber Avenue
Columbus, OH 43215
Title: Deputy Treasurer

Treasurer:

Todd Emoff
1123 Sleeping Meadow Drive
New Albany, Ohio 43054
Title: Treasurer

Designated Agent(s):

Ms. Kristen Stapleton
110 Wilber Avenue
Columbus, Ohio 43215
Title: Deputy Treasurer

Banks or Depositories

Bank One
Department 1045
Columbus, Ohio 43271

Signed: Todd Emoff
Date Signed: 11/12/2003

(End FEC FORM 1)

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