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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-176224

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1. SMILE PAC

    P. O. Box 2178
    Evans, GA 30809
    Fax: 706-738-0575

2. Date: 06/14/2005

3. FEC Committee ID #: C00393959

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:

Amelia Brown
P.O. Box 2178
Evans, GA 30809
Title: Assistant Treasurer
Phone # (770) 314-7888

Treasurer:

Dr. T. Howard Jones
110 Executive Dr.
Carrollton, Georgia 30117
Title: Treasurer
Phone # (770) 834-6644

Designated Agent(s):

Banks or Depositories

Suntrust
403 Furrys Ferry Rd.
Martinez, Georgia 30907

Signed: Dr. T. Howard Jones
Date Signed: 06/14/2005
Official Committee FAX: 706-738-0575

(End FEC FORM 1)

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