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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-780959

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1. Constitution Party National Committee

    408 W. Chestnut Street
    P.O. Box 1782
    Lancaster, PA 176081782

    NOTE: Address is different than previously reported

    Email: apotter@constitutionparty.com

2. Date: 04/26/2012

3. FEC Committee ID #: C00279802 This committee is a National committee of the CON Party.

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

H. James Headings
PO Box 1200
316 Burger Branch Road
Englewood, TN 373291200
Title: Treasurer
Phone # (423) 506-8321

Treasurer:

H. James Headings
PO Box 1200
316 Burger Branch Road
Englewood, Tennessee 373291200
Title: Treasurer
Phone # (423) 506-8321

Designated Agent(s):

Alison Potter
41 Meadowburn Road
Vernon, New Jersey 07462
Title: Assistant Treasurer
Phone # (973) 764-0923

Banks or Depositories

Wells Fargo
5 Route 23 North
Hamburg, New Jersey 07419

Signed: H. James Headings
Date Signed: 04/26/2012
Official Committee URL: www.constitutionparty.com

(End FEC FORM 1)

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