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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-466213

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1. FREEDOMWORKS INC POLITICAL ACTION COMMITTEE

    601 PA AVE NW NORTH BLDG STE 700
    WASHINGTON, DC 20004
    Email: RJordan@freedomworks.org

    NOTE: Email address is different than previously reported

2. Date: 04/29/2010

3. FEC Committee ID #: C00353227 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

Freedom Works Inc.
601 Pennsylvania Ave., NW
Ste. 700
Washington, DC 20004
Affiliated Relationship Code: Connected Organization

Custodian of Records:

John Robert Jordan
601 Pennsylvania Ave., NW
Ste. 700-North Bldg
Washington, DC 20004
Title: Treasurer
Phone # (202) 783-3870

Treasurer:

John Robert Jordan
601 Pennsylvania Ave., NW
Ste. 700-North Bldg
Washington, DC 20004
Title: Treasurer
Phone # (202) 783-3870

Designated Agent(s):

Banks or Depositories

Suntrust Bank
PO Box 622227
Orlando, Florida 32862

Signed: John Robert Jordan
Date Signed: 04/29/2010

(End FEC FORM 1)

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