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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-899094

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1. Diane Black for Congress

    PO Box 1437
    Gallatin, TN 370661437
    Email: Twhittaker@thefarbersbank.net

2. Date: 01/06/2014

3. FEC Committee ID #: C00472878 This committee is a Principal Campaign Committee. Candidate: Mrs. Diane L. Black
Party: Republican Party
Office Sought: House of Representatives
State is Tennessee in District: 06

Affiliated Committees/Organizations

Committee ID# C00517896
REED BLACK VICTORY FUND
228 S. WASHINGTON STREET
SUITE 115
ALEXANDRIA, Virginia 22314
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Mr. Cabell Hobbs
PO Box 453
Portland, TN 371480453
Title: Assistant Treasurer
Phone # (615) 325-2265

Treasurer:

Mr. Tommy Whittaker
PO Box 453
Portland, Tennessee 371480453
Title: Treasurer
Phone # (615) 325-2265

Designated Agent(s):

Mr. Cabell Hobbs
PO Box 453
Portland, Tennessee 371480453
Title: Assistant Treasurer

Banks or Depositories

BB&T
2200 Wilson Blvd
Suite 100
Alexandria, Virginia 22101

Signed: Mr. Tommy Whittaker
Date Signed: 01/06/2014

(End FEC FORM 1)

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