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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-954428

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1. Western North Carolina Advocates for Quality Care

    599 Old Toll Road
    Asheville, NC 28804
    Email: rfburgin@gmail.com;pacservices@ddcpublicaffairs.com

    NOTE: Email address is different than previously reported

2. Date: 09/29/2014

3. FEC Committee ID #: C00564427

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

Custodian of Records:

DDC Advocacy
805 15th Street NW
Suite 300
Washington, DC 20005
Title: Custodian of Records
Phone # (202) 830-2038

Treasurer:

Robert F. Burgin
599 Old Toll Road
Asheville, North Carolina 28804
Title: Treasurer
Phone # (828) 778-1979

Designated Agent(s):

Banks or Depositories

Chain Bridge Bank
1445-A Laughlin Ave
McLean, Virginia 22101

Signed: Robert F. Burgin
Date Signed: 10/08/2014

(End FEC FORM 1)

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