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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-713306

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1. Restore America PAC, Inc

    P.O. Box 2275
    Topeka, KS 66601
    Email: t.c.@restoreamericapac.com

2. Date: 12/30/1998

3. FEC Committee ID #: C00344333

Affiliated Committees/Organizations

Custodian of Records:

T.C. Anderson
2436 SW Camelot Place
Topeka, KS 66614
Title: Treasurer
Phone # (785) 272-5850

Treasurer:

T.C. Anderson
2436 SW Camelot Place
Topeka, Kansas 66614
Title: Treasurer
Phone # (785) 272-5850

Designated Agent(s):

T.C. Anderson
2436 SW Camelot Place
Topeka, Kansas 66614
Title: Treasurer
Phone # (785) 272-5850

Banks or Depositories

CoreFirst Bank & Trust
3035 S. Topeka Blvd
Topeka, Kansas 66611

Signed: T.C. Anderson
Date Signed: 02/06/2011
Official Committee URL: www.restoreamericapac.com

(End FEC FORM 1)

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