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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-781362

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1. BUTTERBALL POLITICAL ACTION COMMITTEE INC

    P.O. Box 2389
    Garner, NC 27529
    Email: mskinner@butterball.com

    NOTE: Email address is different than previously reported

2. Date: 05/02/2012

3. FEC Committee ID #: C00442046

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:

Mark Skinner
P.O. Box 2389
Garner, NC 27529
Title: Custodian of Records
Phone # (919) 255-7900

Treasurer:

Mark Skinner
P.O. Box 2389
Garner, North Carolina 27529
Title: Treasurer
Phone # (919) 255-7900

Designated Agent(s):

Banks or Depositories

First Tennessee
PO Box 84
Memphis, Tennessee 38101

Signed: Mark Skinner
Date Signed: 05/02/2012

(End FEC FORM 1)

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