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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-760233

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1. Liberty Lane Service Company PAC

    NOTE:Commmittee Name is different than previously reported

    One Liberty Lane East, Suite 100
    Hampton, NH 03842

    NOTE: Address is different than previously reported

    Email: aknight@libertylanesvc.com

    NOTE: Email address is different than previously reported

2. Date: 01/27/2012

3. FEC Committee ID #: C00432237

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Anthony Annino
1 Liberty Lane East, Suite 100
Hampton, NH 03842
Title: Treasurer
Phone # (603) 929-2236

Treasurer:

Anthony Annino
1 Liberty Lane East, Suite 100
Hampton, New Hampshire 03842
Title: Analyst
Phone # (603) 929-2236

Designated Agent(s):

Banks or Depositories

Citizens Bank
875 Elm Street
Manchester, New Hampshire 03101

Signed: Anthony Annino
Date Signed: 01/27/2012

(End FEC FORM 1)

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