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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-846975

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1. American Security PAC

    167 West Manor Lane
    Alexandria, AL 36250
    Email: amy.c.hurlbut@gmail.com

    NOTE: Email address is different than previously reported

2. Date: 01/14/2013

3. FEC Committee ID #: C00439521

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

Mr. Mike Rogers
6605 Saks Road
Weaver, Alabama 36277
Affiliated Relationship Code: Leadership PAC Sponsor

Custodian of Records:

Amy Hurlbut
167 West Manor Lane
Alexandria, AL 36250
Title: Custodian of Records
Phone # (256) 310-0559

Treasurer:

Thomas H. Young
167 West Manor Lane
Alexandria, Alabama 36250
Title: Treasurer
Phone # (256) 310-0559

Designated Agent(s):

Thomas H. Young
167 West Manor Lane
Alexandria, Alabama 36250
Title: Treasurer
Phone # (256) 310-0559

Banks or Depositories

Compass Bank
801 Noble Street
Anniston, Alabama 36201

Signed: Thomas H. Young
Date Signed: 01/15/2013

(End FEC FORM 1)

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