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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-113820

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1. North Carolina Republican Executive Committee

    1506 Hillsborough Street
    Raleigh, NC 27605
    Fax: 9198993815
    Email: email@ncgop.org

2. Date: 04/06/2004

3. FEC Committee ID #: C00038505 This committee is a R committee of the State Party.

Affiliated Committees/Organizations

Committee ID# C00396564
Burr Senate Victory Committee
PO Box 75103
Washington, DC 20013
Relationship: Joint Fundraising Representative

Custodian of Records:

Karen Langham
1506 Hillsborough Street
Raleigh, NC 27605
Title: Accounting Director
Phone # (919) 828-6423

Treasurer:

R. Harris Vaughan III
1506 Hillsborough Street
Raleigh, North Carolina 27605
Title: Treasurer
Phone # (919) 828-6423

Designated Agent(s):

Robert Moseley
1506 Hillsborough Street
Raleigh, North Carolina 27605
Title: Asst. Treasurer
Phone # (919) 828-6423

Banks or Depositories

Wachovia Bank
1753 Pinnacle Drive
McLean, Virginia 22102

Signed: R. Harris Vaughan III
Date Signed: 04/06/2004
Official Committee FAX: 9198993815

(End FEC FORM 1)

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