FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-305339
1. GRASS ROOTS NORTH CAROLINA/FORUM FOR FIREARMS EDUC POL VICTORY FUND
9001 Vicksburg Rd.Charlotte, NC 28227
NOTE: Address is different than previously reported
Email: grncpvf@carolina.rr.com2. Date: 10/02/2007
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
PO Box 10684
Raleigh, NC 27605
Title: Treasurer
Treasurer:
Grant Gardner
9001 Vicksburg Rd.
Charlotte, North Carolina 28227
Title: Treasurer
Designated Agent(s):
Paul Valone
PO Box 10684
Raleigh, North Carolina 27605
Title: Asisstant Treasurer
Banks or Depositories
Wachovia Bank NA
PO Box 563966
Charlotte, North Carolina 28262
Signed: Paul Valone
Date Signed: 10/02/2007
(End FEC FORM 1)
Date Signed: 10/02/2007