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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-438486

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1. Tom James Company Political Action Committee

    701 8th Street, NW
    Suite 500
    Washington, DC 20001

    NOTE: Address is different than previously reported

    Email: mgkelley@wms-jen.com

2. Date: 10/30/2009

3. FEC Committee ID #: C00337972 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Tom James Company
263 Seaboard Lane
Franklin, Tennessee 37067
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Meredith Kelley
701 8th Street, NW
Suite 500
Washington, DC 20001
Phone # (202) 659-8201

Treasurer:

Meredith Kelley
701 8th Street, NW
Suite 500
Washington, DC 20001
Phone # (202) 659-8201

Designated Agent(s):

Banks or Depositories

Wachovia
PO Box 13327
Roanoke, Virginia 24040

Signed: Meredith Kelley
Date Signed: 10/30/2009

(End FEC FORM 1)

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