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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-781831

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1. FLORIDA PBA INC FRIENDS OF LAW ENFORCEMENT

    300 E BREVARD STREET
    TALLAHASSEE, FL 32301
    Email: ken@flpba.org

2. Date: 05/07/2012

3. FEC Committee ID #: C00349639 This committee is a separate segregated fund. Its connected organization is a Labor Organization

Affiliated Committees/Organizations

FLORIDA PBA INC
300 EAST BREVARD ST
TALLAHASSEE, Florida 32301
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

MATT PUCKETT
300 EAST BREVARD ST
TALLAHASSEE, Florida 32301
Title: Treasurer
Phone # (850) 222-3329

Designated Agent(s):

KENNETH KOPCZYNSKI
300 EAST BREVARD ST
TALLAHASSEE, Florida 32301
Title: DEPUTY TREASURER
Phone # (850) 222-3329

Banks or Depositories

SUNTRUST
PO BOX 62227
ORLANDO, Florida 32862

Signed: DAVID MURRELL
Date Signed: 05/07/2012

(End FEC FORM 1)

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