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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-184390

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1. Green Party of Michigan

    NOTE:Commmittee Name is different than previously reported

    548 S. Main St.
    Ann Arbor, MI 48104
    Email: treasurer@migreens.org

2. Date: 08/16/2005

3. FEC Committee ID #: C00384040 This committee is a Green Party committee of the State Party.

Affiliated Committees/Organizations

Custodian of Records:

Randolph Kevin Jones
903 Hawthorne Ave.
Ypsilanti, MI 48198
Title: Custodian
Phone # (734) 480-1464

Treasurer:

Randolph Kevin Jones
903 Hawthorne Ave.
Ypsilanti, Michigan 48198
Title: Treasurer
Phone # (734) 480-1464

Designated Agent(s):

Banks or Depositories

Bank of Ann Arbor
125 S. Fifth Ave.
Ann Arbor, Michigan 48104

Signed: Randolph Kevin Jones
Date Signed: 08/16/2005
Official Committee URL: www.migreens.org

(End FEC FORM 1)

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