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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-735644

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1. Freedom Club Federal PAC

    P. O. Box 416
    Champlin, MN 55316
    Email: mscholl@civiscomm.com

2. Date: 07/15/2011

3. FEC Committee ID #: C00307777 This committee is a separate segregated fund. Its connected organization is a Corporation W/O Capital Stock

Affiliated Committees/Organizations

Freedom Club
P.O. Box 416
Champlin, Minnesota 55316
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Richard Andolshek
527 River Street
Minneapolis, Minnesota 55401

Designated Agent(s):

Banks or Depositories

Signed: Richard Andolshek
Date Signed: 07/15/2011

(End FEC FORM 1)

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