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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-745388

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1. Americans for Rick Perry

    7660 Fay Ave. Suite 314
    La Jolla, CA 92037
    Email: maryz@mary-z.com

2. Date: 09/19/2011

3. FEC Committee ID #: C00498261 This committee supports/opposes only one candidate and is NOT an Authorized Committee. Candidate Name:

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Mary E Azevedo
P.O. Box 448
Oceanside, CA 92049
Title: Treasurer
Phone # (760) 439-5979

Treasurer:

Mary E Azevedo
P.O. Box 448
Oceanside, California 92049
Title: Treasurer
Phone # (760) 439-5979

Designated Agent(s):

Robert Schuman
7660 Fay Ave. Suite 314
La Jolla, California 92037
Title: Campaign Manager
Phone # (858) 483-4300

Banks or Depositories

JPMorgan Chase Bank N.A.
7777 Girard
La Jolla, California 92037

Signed: Mary E Azevedo
Date Signed: 09/19/2011

(End FEC FORM 1)

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