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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-156985

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1. HORIZON TELCOM POLITICAL ACTION COMMITTEE

    68 EAST MAIN STREET
    PO BOX 480
    CHILLICOTHE, OH 45601
    Fax: 7407743400
    Email: steve.burkhardt@horizontel.com

2. Date: 12/22/2004

3. FEC Committee ID #: C00375519 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Steve Burkhardt
68 E. Main Street
Chillicothe, OH 45601

Treasurer:

Steve Burkhardt
68 E. Main Street
Chillicothe, Ohio 45601

Designated Agent(s):

Banks or Depositories

Signed: Steve Burkhardt
Date Signed: 12/22/2004
Official Committee FAX: 7407743400

(End FEC FORM 1)

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