FEC Form 1 for GRASS ROOTS NORTH CAROLINA/FORUM FOR FIREARMS EDUC POL VICTORY FUNDForm 1 for GRASS ROOTS NORTH CAROLINA/FORUM FOR FIREARMS EDUC POL VICTORY FUND

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-186361

1. GRASS ROOTS NORTH CAROLINA/FORUM FOR FIREARMS EDUC POL VICTORY FUND

PO Box 524
Red Oak, NC 27868

NOTE: Address is different than previously reported

Email: denny@truepatriot.org

2. Date: 09/16/2005

3. FEC Committee ID #: C00354605

This 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:

Alan Roberts
PO box 10684
Raleigh, NC 27605

Treasurer:

Dennis Nielsen
PO Box 524
Red Oak, North Carolina 27856

Designated Agent(s):

Joseph Mertz
PO Box 10684
Raleigh, North Carolina 27605

Banks or Depositories

Signed: Dennis Nielsen
Date Signed: 09/16/2005

(End FEC FORM 1)

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