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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-446907

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1. American Home Furnishings Alliance Political Action Committee

    317 West High Avenue
    10th Floor
    High Point, NC 27261

    NOTE: Address is different than previously reported

    Email: acounts@ahfa.us

    NOTE: Email address is different than previously reported

2. Date: 01/25/2010

3. FEC Committee ID #: C00077362 This committee is a separate segregated fund. Its connected organization is a Trade Association
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

American Home Furnishings Alliance
317 West High Avenue
10th Floor
High Point, North Carolina 27261
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Andy S. Counts
317 West High Avenue
10th Floor
High Point, NC 27260
Title: Treasurer
Phone # (336) 884-5000

Treasurer:

Andy S. Counts
317 West High Avenue
10th Floor
High Point, North Carolina 27260
Title: Treasurer
Phone # (336) 884-5000

Designated Agent(s):

Andy S. Counts
317 West High Avenue
10th Floor
High Point, North Carolina 27260
Title: Treasurer
Phone # (336) 884-5000

Banks or Depositories

Bank of America
PO Box 25118
Tampa, Florida 33622

Signed: Andy S. Counts
Date Signed: 01/25/2010

(End FEC FORM 1)

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