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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-270534

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1. CC SERVICES INC COUNTRY POLITICAL ACTION COMMITTEE

    1701 N TOWANDA AVENUE
    PO BOX 2020
    BLOOMINGTON, IL 617022020
    Fax: 3095572041
    Email: ashipman@ilfb.org

2. Date: 01/23/2007

3. FEC Committee ID #: C00390971 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

, ____

Designated Agent(s):

Banks or Depositories

Signed: David A Magers Treasurer
Date Signed: 01/23/2006
Official Committee FAX: 3095572041

(End FEC FORM 1)

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