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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-841329

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1. Austin Scott for Congress Inc

    PO Box 2530
    Tifton, GA 31793
    Email: vivien@ScottForGA.com

2. Date: 12/10/2012

3. FEC Committee ID #: C00482737 This committee is a Principal Campaign Committee. Candidate: Rep. James Austin Scott
Party: Republican Party
Office Sought: House of Representatives
State is Georgia in District: 08

Affiliated Committees/Organizations

Committee ID# C00493783
FARM Trust Joint Fundraising Committee
7315 Wisconsin Ave
Bethesda, Maryland 208143202
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Treasurer:

Mrs. Vivien Scott
27 Oakmont Dr
Tifton, Georgia 317935372
Title: Treasurer
Phone # (404) 291-0725

Designated Agent(s):

Banks or Depositories

The Private Bank
3423 Piedmont Road
Atlanta, Georgia 30305

Wells Fargo
7901 Wisconsin Ave
Bethesda, Maryland 20814

Signed: Mrs. Vivien Scott
Date Signed: 12/10/2012
Official Committee URL: www.ScottforGA.com

(End FEC FORM 1)

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