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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1028068

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1. North Carolina Republican Party

    1506 Hillsborough Street
    Raleigh, NC 27605
    Email: greg.fornshell@ncgop.org

2. Date: 10/14/2015

3. FEC Committee ID #: C00038505 This committee is a State committee of the Republican Party Party.

Affiliated Committees/Organizations

13th Congressional District Republican Party
113 Crest Drive
Mount Olive, North Carolina 283652617
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00573022
Richard Burr Victory Committee
PO Box 97275
Raleigh, North Carolina 276247275
Affiliated Relationship Code: Affiliated Committee

Fourth Congressional District Republic
341 Mamie Ferguson Drive
Lillington, North Carolina 275465609
Affiliated Relationship Code: Affiliated Committee

Third District North Carolina Republic
1830 Blue Banks Farm Road
Greenville, North Carolina 278349369
Affiliated Relationship Code: Affiliated Committee

11th Congressional District Republican
PO Box 1913
Bryson City, North Carolina 287134913
Affiliated Relationship Code: Affiliated Committee

Second Congressional District Republic
1626 Dartmouth Drive
Fayetteville, North Carolina 28304
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Gregory Fornshell
1506 Hillsborough Street
Raleigh, NC 276051831
Title: Custodian of Records
Phone # (919) 828-6423

Treasurer:

David Cozart
1506 Hillsborough Street
Raleigh, North Carolina 276051831
Title: Treasurer
Phone # (919) 828-6423

Designated Agent(s):

Banks or Depositories

Bank of America
321 Oberlin Road
Raleigh, North Carolina 27605

Signed: David Cozart
Date Signed: 10/14/2015
Official Committee URL: www.ncgop.org

(End FEC FORM 1)

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