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-260053

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: grncffe@aol.com

2. Date: 11/29/2006

3. FEC Committee ID #: C00354605 This committee is a Principal Campaign Committee. Candidate:
Party: National
Office Sought:
State is in District:

Affiliated Committees/Organizations

Custodian of Records:

Paul Valone
PO Box 10684
Raleigh, NC 27605

Treasurer:

Paul Valone
PO Box 10684
Raleigh, North Carolina 27605

Designated Agent(s):

Banks or Depositories

Signed: Dennis Nielsen
Date Signed: 11/28/2006

FORM TEXT

(End FEC FORM 1)

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