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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-943279

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1. PROTECT SENIORS NOW

    12201 BLUEGRASS PARKWAY
    LOUISVILLE, KY 40299
    Email: ecampbell@signaturehealthcarellc.com;kfrey@signaturehealthcarellc.com

2. Date: 07/29/2014

3. FEC Committee ID #: C00513713 This committee is a Principal Campaign Committee. Candidate:
Party:
Office Sought:
State is in District:

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Treasurer:

, ____

Designated Agent(s):

Kevin G Frey
5404 Wending Ct
Louisville, Kentucky 40207
Title: Director of Accounti
Phone # (502) 568-7806

Banks or Depositories

Republic Bank
661 South Hurstbourne Parkway
Louisville, Kentucky 40222

Signed: Edward Richard Campbell
Date Signed: 07/29/2014

(End FEC FORM 1)

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