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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-768601

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1. VoteTipton.Com

    PO Box 1582
    Cortez, CO 813211582
    Email: andrea@pinnaclepolitical.com

2. Date: 02/21/2012

3. FEC Committee ID #: C00470757 This committee is a Principal Campaign Committee. Candidate: Scott R. Tipton
Party: Republican Party
Office Sought: House of Representatives
State is Colorado in District: 03

Affiliated Committees/Organizations

Committee ID# C00511519
Patriot Day III
228 S Washington Street
Suite 115
Alexandria, Virginia 223145404
Affiliated Relationship Code: Joint Fundraising Representative

Committee ID# C00493783
Freshman Agricultural Republican Membe
7315 Wisconsin Avenue
Suite 310
Bethesda, Maryland 208143202
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Andrea Hough
217 W 1st Avenue
Denver, CO 802231507
Title: Custodian of Records

Treasurer:

A. Wayne Coleman
PO Box 1720
Cortez, Colorado 813211720
Title: Treasurer
Phone # (970) 565-3741

Designated Agent(s):

Banks or Depositories

Vectra Bank Colorado
350 W Montezuma Avenue
Cortez, Colorado 813212750

BB&T Bank
1909 K Street NW
Washington, DC 200061152

Wachovia Bank, N.A.
7901 Wisconsin Avenue
MD1010
Bethesda, Maryland 20814

Signed: A. Wayne Coleman
Date Signed: 03/01/2012
Official Committee URL: votetipton.com

(End FEC FORM 1)

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