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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1264017

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1. North Carolina Values Coalition PAC

    9650 STRICKLAND RD
    SUITE 103-226
    RALEIGH, NC 27615
    Email: tfitzgerald@ncvalues.org;fec@langdonlaw.com

2. Date: 09/26/2018

3. FEC Committee ID #: C00688226

This committee is an independent expenditure-only political committee (Super PAC).

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Amy B. Ellis
9650 STRICKLAND RD
SUITE 103-226
RALEIGH, NC 27615
Title: Treasurer

Treasurer:

Amy B. Ellis
9650 STRICKLAND RD
SUITE 103-226
RALEIGH, North Carolina 27615
Title: Treasurer

Designated Agent(s):

Banks or Depositories

First Citizens Bank
9650 Falls of Neuse Road
Raleigh, North Carolina 27615

Signed: Amy B. Ellis
Date Signed: 09/26/2018

FORM TEXT-1

(End FEC FORM 1)

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