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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1193686

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1. Opioids Awareness Alliance

    329 Springfield Dr.
    Bristol, TN 37620
    Email: opioidsaa@gmail.com;dwkesterson@hotmail.com

2. Date: 06/22/2017

3. FEC Committee ID #: C00648535

This committee is an independent expenditure-only political committee (Super PAC).

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Dennis Kesterson
329 Springfield Dr.
Bristol, TN 37620
Title: Treasurer
Phone # (423) 923-0235

Treasurer:

Dennis Kesterson
329 Springfield Dr.
Bristol, Tennessee 37620
Title: Treasurer
Phone # (423) 923-0235

Designated Agent(s):

Banks or Depositories

Eastman Credit Union
16501 Highlands Center Blvd
Bristol, Virginia 24202

Signed: Dennis Kesterson
Date Signed: 12/12/2017

FORM TEXT-1

(End FEC FORM 1)

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