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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1079957

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1. Burr NC Victory Fund

    PO Box 97275
    Raleigh, NC 27624
    Email: BNCVF@cmandco.com

2. Date: 06/23/2016

3. FEC Committee ID #: C00620617

This committee collects contributions, pays fundraising expenses and disburses net proceeds for two or more political
committees/organizations, at least one of which is an authorized committee of a federal candidate.

Committees Participating in Joint Fundraiser

1. RICHARD BURR COMMITTEE; THE      FEC ID number C00385526
2. WAKE REC FEDERAL      FEC ID number C00616516

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Collin McMichael
PO Box 97275
Raleigh, NC 27624
Title: Treasurer
Phone # (919) 889-1817

Treasurer:

Collin McMichael
PO Box 97275
Raleigh, North Carolina 27624
Title: Treasurer
Phone # (919) 889-1817

Designated Agent(s):

Banks or Depositories

BB&T
6659 Falls of Neuse Rd
Raleigh, North Carolina 27615

Signed: Collin McMichael
Date Signed: 06/23/2016

(End FEC FORM 1)

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