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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-476254

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1. Jim Jordan for Congress

    1709 State Route 560 South
    Urbana, OH 43078

2. Date: 06/03/2010

3. FEC Committee ID #: C00416594

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

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

James G Kordik
2160 Kettering Tower
Dayton, OH 45423
Title: Treasurer
Phone # (937) 223-8171

Treasurer:

James G Kordik
2160 Kettering Tower
Dayton, Ohio 45423
Title: Treasurer
Phone # (937) 223-8171

Designated Agent(s):

Banks or Depositories

The Bank of Tampa
601 Bayshore Blvd
Tampa, Florida 33606

Security National Bank
PO Box 351
Urbana, Ohio 43078

Signed: James G Kordik
Date Signed: 06/24/2010

(End FEC FORM 1)

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