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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-722937

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1. Advance America Cash Advance Centers Inc Political Action Committee

    135 N. Church Street
    Spartanburg, SC 29306
    Email: tnewell@advanceamerica.net

    NOTE: Email address is different than previously reported

2. Date: 04/13/2011

3. FEC Committee ID #: C00429001 This committee is a separate segregated fund. Its connected organization is a Corporation
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Advance America Cash Advance Centers, Inc.
135 North Church Street
Spartanburg, South Carolina 29306
Affiliated Relationship Code: Connected Organization

Custodian of Records:

W. Thomas Newell
709 W. Longbay Drive
Inman, SC 29303
Title: Treasurer
Phone # (864) 342-5074

Treasurer:

W. Thomas Newell
709 W. Longbay Drive
Inman, South Carolina 29303
Title: Treasurer
Phone # (864) 342-5074

Designated Agent(s):

Mr. J. David Hershberger
525 Utica Avenue
Boulder, Colorado 80304
Title: Assistant Treasurer
Phone # (864) 342-4294

Banks or Depositories

Bank of America
PO Box 1091
Charlotte, North Carolina 28254

Signed: W. Thomas Newell
Date Signed: 04/13/2011

(End FEC FORM 1)

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