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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1071955

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1. Citizens for Safe Communities

    1100 Market Street
    Suite 400
    Chattanooga, TN 37402
    Email: lora@bluewavepolitics.com

2. Date: 05/13/2016

3. FEC Committee ID #: C00617266

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

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Lora Haggard
1100 Market Street
Suite 400
Chattanooga, TN 37402
Title: Treasurer

Treasurer:

Lora Haggard
1100 Market Street
Suite 400
Chattanooga, Tennessee 37402
Title: Treasurer

Designated Agent(s):

Banks or Depositories

Bank of America
200 W. ML King Blvd
Suite 100
Chattanooga, Tennessee 37402

Signed: Lora Haggard
Date Signed: 05/13/2016

FORM TEXT-1

(End FEC FORM 1)

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