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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-178624

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1. Independence Party of Minnesota

    PO Box 40495
    St Paul, MN 55104
    Email: treasurer@mnip.org

2. Date: 07/11/2005

3. FEC Committee ID #: C00305268 This committee is a committee of the National Party.

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

, ____

Designated Agent(s):

Sigrid Hutcheson
3357 St Louis Ave
Minneapolis, Minnesota 55416
Title: Deputy Treasurer
Phone # (612) 922-7100

Banks or Depositories

Signed: Daniel Justesen
Date Signed: 07/11/2005
Official Committee URL: www.mnip.org

(End FEC FORM 1)

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