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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-811121

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1. Citizens for a Working America PAC

    23 Tuscarora Avenue
    Beaufort, SC 29907

    NOTE: Address is different than previously reported

    Email: dlangdon@langdonlaw.com

2. Date: 09/20/2012

3. FEC Committee ID #: C00488767

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:

Mr. David R Langdon, Esq.
8913 Cincinnati-Dayton Rd.
West Chester, OH 45069
Title: Treasurer
Phone # (513) 577-7380

Treasurer:

Mr. David R Langdon, Esq.
8913 Cincinnati-Dayton Rd.
West Chester, Ohio 45069
Title: Treasurer
Phone # (513) 577-7380

Designated Agent(s):

Banks or Depositories

Chesapeake Bank
2824 White Chapel Road
Lively, Virginia 22507

Signed: Mr. David R Langdon, Esq.
Date Signed: 09/20/2012

(End FEC FORM 1)

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