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FEC Form 1 for Patriot FundForm 1 for Patriot Fund

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-173490


1. Patriot Fund

    610 S. Boulevard
    Tampa, FL 33606

    NOTE: Address is different than previously reported

    Fax: 8132533280
    Email: nwatkins@robertwatkins.com

2. Date: 05/06/2005

3. FEC Committee ID #: C00406207

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:

Nancy H Watkins
610 S. Boulevard
Tampa, FL 33606
Title: Treasurer
Phone # (813) 254-3369

Treasurer:

Nancy H Watkins
610 S. Boulevard
Tampa, Florida 33606
Title: Treasurer
Phone # (813) 254-3369

Designated Agent(s):

Robert I. Watkins
610 S. Boulevard
Tampa, Florida 33606
Title: Assistant Treasurer
Phone # (813) 253-3280

Banks or Depositories

Bank of Tampa
P. O. Box 1
Tampa, Florida 33601

Wachovia Bank
1970 Chain Bridge Road
McLean, Virginia 22102

Signed: Nancy H Watkins
Date Signed: 05/06/2005
Official Committee FAX: 8132533280

(End FEC FORM 1)


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