FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-743980
1. CONSERVATIVE LEADERSHIP POLITICAL ACTION COMMITTEE
3128 N. 17th StreetArlington, VA 22201
NOTE: Address is different than previously reported
Email: tessiewilson@cox.netNOTE: Email address is different than previously reported
2. Date: 09/07/2011
3. FEC Committee ID #: C00010363This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
Affiliated Committees/Organizations
NONE
, ____
Custodian of Records:
Judith Wilson
10424 Woodbury Woods Court
Fairfax, VA 22032
Title: Bookkeeper
Phone # (703) 250-8764
Treasurer:
David Fenner
11468 Meath Drive
Fairfax, Virginia 22030
Designated Agent(s):
Banks or Depositories
Bank of America
P.O. Box 25118
Tampa, Florida 33622
Signed: David Fenner
Date Signed: 09/07/2011
(End FEC FORM 1)
Date Signed: 09/07/2011