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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-53272

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1. Restore America PAC Inc.

    P.O. Box 12526
    Shawnee Mission, KS 66282
    Email: tc@kscpa.org

2. Date:

3. FEC Committee ID #: C00344333

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

None
, ____

Custodian of Records:

T.C. Anderson
1080 SW Wanamaker
Suite 200
Topeka, KS 666043807
Title: Treasurer
Phone # (785) 272-4366

Treasurer:

T.C. Anderson
1080 SW Wanamaker
Suite 200
Topeka, Kansas 666043807
Phone # (785) 272-4366

Designated Agent(s):

Banks or Depositories

Commerce Bank & Trust
3035 S. Topeka Blvd.
Topeka, Kansas 666112107

Signed: T.C. Anderson
Date Signed: 10/13/2002

(End FEC FORM 1)

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