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FEC Form 1 for CONSERVATIVE LEADERSHIP POLITICAL ACTION COMMITTEEForm 1 for CONSERVATIVE LEADERSHIP POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-134579


1. CONSERVATIVE LEADERSHIP POLITICAL ACTION COMMITTEE

    3128 N. 17th Street
    Arlington, VA 22201

    NOTE: Address is different than previously reported

2. Date: 09/09/2004

3. FEC Committee ID #: C00010363

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

Custodian of Records:

CW Accounting Services
10424 Woodbury Woods Court
Fairfax, VA 22032
Title: Bookkeeper
Phone # (703) 250-8764

Treasurer:

David Fenner
4239 Willow Woods Drive
Annandale, Virginia 22003

Designated Agent(s):

Raymond LaJeunesse
3709 N. Glebe
Arlington, Virginia 22201
Title: Registered agent
Phone # (703) 321-9829

Banks or Depositories

Bank of America
P.O. Box 25118
Tampa, Florida 33622

Huntington National Bank
P.O. Box 1558 EA1W37
Columbus, Ohio 43216

Signed: David Fenner
Date Signed: 09/10/2004

(End FEC FORM 1)


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