FEC Form 1 for American Conservative Union Political Action Committee (ACU-PAC)Form 1 for American Conservative Union Political Action Committee (ACU-PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-29110

1. American Conservative Union Political Action Committee (ACU-PAC)

1007 Cameron Street
Alexandria, VA 22314
Email: dkeene@conservative.org

2. Date: 03/06/2002

3. FEC Committee ID #: C00130658 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

American Conservative Union
1007 Cameron Street
Alexandria, Virginia 22314
Relationship: Connected Org.
Organization Type: Membership Organization

Custodian of Records:

Mrs. Diana Carr
1007 Cameron Street
Alexandria, VA 22314
Title: Treasurer
Phone # (703) 836-8602

Treasurer:

Mrs. Diana Carr
1007 Cameron Street
Alexandria, Virginia 22314
Title: Treasurer
Phone # (703) 836-8602

Designated Agent(s):

Mr. David Keene
1007 Cameron Street
Alexandria, Virginia 22314
Title: Chairman
Phone # (703) 836-8602

Banks or Depositories

First Union Bank
1970 Chain Bridge Road
5th Floor
McLean, Virginia 22102

Signed: Mrs. Diana Carr
Date Signed: 03/06/2002

(End FEC FORM 1)

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