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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1054583

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1. AmericanValues PAC

    PO Box 457
    Elizabeth, NJ 07207
    Email: amerpac@earthlink.net

2. Date: 03/10/2016

3. FEC Committee ID #: C00611517

This committee is a political committee with both contribution and non-contribution accounts (Hybrid PAC).

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Roger Cowles
PO Box 457
Elizabeth, NJ 07207
Title: Secretary/Treasurer
Phone # (201) 724-7131

Treasurer:

Roger Cowles
PO Box 457
Elizabeth, New Jersey 07207
Title: Secretary/Treasurer
Phone # (201) 724-7131

Designated Agent(s):

Banks or Depositories

TD Bank
995 Morris Avenue
Union, New Jersey 07083

Signed: Roger Cowles
Date Signed: 03/10/2016

FORM TEXT-1
FORM TEXT-2

(End FEC FORM 1)

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