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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-410063

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1. NORTH CAROLINA FARM BUREAU FEDERATION INC POL ACT CMTE INC (AKA) NC FARM BUREAU FARMPAC

    5301 GLENWOOD AVENUE
    RALEIGH, NC 27612
    Email: julian.philpott@ncfb.org

2. Date: 03/27/2009

3. FEC Committee ID #: C00216754 This committee is a separate segregated fund. Its connected organization is a Membership Organization
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

NORTH CAROLINA FARM BUREAU FEDERATION, INC
5301 GLENWOOD AVENUE
RALEIGH, North Carolina 27612
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Perry Crutchfield
PO Box 27766
Raleigh, NC 27611
Title: Assistant Treasurer
Phone # (919) 782-1705

Treasurer:

H. Julian Philpott, Jr.
PO Box 27766
Raleigh, North Carolina 27611
Title: Treasurer
Phone # (919) 782-1705

Designated Agent(s):

Perry Crutchfield
PO Box 27766
Raleigh, North Carolina 27611
Title: Assisstant Treasurer
Phone # (919) 782-1705

Banks or Depositories

BB&T
4409 Creedmoor Road
Raleigh, North Carolina 27613

Signed: H. Julian Philpott, Jr.
Date Signed: 03/27/2009

(End FEC FORM 1)

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