FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1082101
1. Grass Roots North Carolina/Forum for Firearms Educ Pol Victory Fund
5200 Rocky River RdCharlotte, NC 28215
Email: ggardner12@att.net;grnc-pvf@grnc.org
2. Date: 03/15/2014
3. FEC Committee ID #: C00354605This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
Affiliated Committees/Organizations
Custodian of Records:
Grant Gardner
5200 Rocky River Rd.
Charlotte, NC 28215
Title: Treasurer
Phone # (704) 301-6602
Treasurer:
Mr. Grant Gardner
5200 Rocky River Rd
Charlotte, North Carolina 28215
Title: Treasurer
Phone # (704) 301-6602
Designated Agent(s):
Mr. Paul Valone
578 High Springs
Bryson City, North Carolina 28713
Title: Assist. Treasurer
Phone # (704) 907-9206
Banks or Depositories
Wells Fargo Bank
PO Box 563966
Charlotte, North Carolina 28262
Signed: Mr. Grant Gardner
Date Signed: 07/09/2016
(End FEC FORM 1)
Date Signed: 07/09/2016