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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1377313

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1. Tar Heel Prosperity PAC

    10809 Grassy Creek Place
    Raleigh, NC 27614
    Email: amybellis14@gmail.com;barnes.peter@gmail.com

2. Date: 01/31/2020

3. FEC Committee ID #: C00737064

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
     In addition, this committee is a Leadership PAC.

Affiliated Committees/Organizations

James Daniel Bishop
2216 Whilden Ct
Charlotte, North Carolina 28211
Affiliated Relationship Code: Leadership PAC Sponsor

Custodian of Records:

Amy Ellis
10809 Grassy Creek Place
Raleigh, NC 27614
Phone # (910) 231-3831

Treasurer:

Amy Ellis
10809 Grassy Creek Place
Raleigh, North Carolina 27614
Phone # (910) 231-3831

Designated Agent(s):

Banks or Depositories

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

Signed: Amy Ellis
Date Signed: 01/31/2020

(End FEC FORM 1)

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