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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-920466

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1. Citizens for Responsible Leadership

    PO Box 701
    Clayton, NC 27528
    Email: Heather.Ford@TheFordFirmNC.com

2. Date: 04/16/2014

3. FEC Committee ID #: C00561480

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:

Heather Ford
PO Box 701
Clayton, NC 27528
Title: Treasurer
Phone # (919) 550-2100

Treasurer:

Heather Ford
PO Box 701
Clayton, North Carolina 27528
Title: Treasurer
Phone # (919) 550-2100

Designated Agent(s):

David R Ford
PO Box 701
Clayton, North Carolina 27528
Title: Assistant Treasurer
Phone # (919) 550-2100

Banks or Depositories

BB&T
200 W. Second Street
Winston Salem, North Carolina 27101

Signed: Heather Ford
Date Signed: 04/16/2014

(End FEC FORM 1)

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