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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-408711

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1. DOC PAC

    264 N. Lumpkin Street, #202
    Athens, GA 30601

    NOTE: Address is different than previously reported

2. Date: 12/02/2006

3. FEC Committee ID #: C00396721

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
     In addition, this committee is a Leadership PAC.

Affiliated Committees/Organizations

Candidate ID# H2GA11149
Phillip Gingrey
PO Box U
Marietta, Georgia 30060
Affiliated Relationship Code: Leadership PAC Sponsor

Custodian of Records:

Treasurer:

Paul Kilgore
337 S. Milledge Avenue, Ste. 101
Athens, Georgia 30605
Title: Treasurer
Phone # (706) 534-7780

Designated Agent(s):

Banks or Depositories

National City Bank
PO Box 8043
Royal Oak, Michigan 48068

Signed: Paul Kilgore
Date Signed: 03/20/2009

(End FEC FORM 1)

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