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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1006283

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1. Duckworth Victory Fund

    PO Box 59632
    Schaumburg, IL 60159
    Email: lpaulson@vlpc.com

2. Date: 05/01/2015

3. FEC Committee ID #: C00577189

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. TAMMY FOR ILLINOIS      FEC ID number C00574889
2. PERIMETER PAC      FEC ID number C00544254

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Keith D. Lowey
124 Washington Street
Suite 101
Foxboro, MA 02035
Title: Treasurer

Treasurer:

Keith D. Lowey
124 Washington Street
Suite 101
Foxboro, Massachusetts 02035
Title: Treasurer

Designated Agent(s):

Banks or Depositories

Citibank
601 N. Martingale Rd. #175
Schaumburg, Illinois 60173

Signed: Keith D. Lowey
Date Signed: 05/01/2015

(End FEC FORM 1)

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