FEC Form 1 for FRED THOMPSON POLITICAL ACTION COMMITTEEForm 1 for FRED THOMPSON POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-433484

1. FRED THOMPSON POLITICAL ACTION COMMITTEE

10332 MAIN STREET #364
FAIRFAX, VA 22030

2. Date: 09/22/2009

3. FEC Committee ID #: C00438507

This 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
10332 Main Street #364
Fairfax, VA 22030
Title: Bookkeeper
Phone # (703) 250-8764

Treasurer:

Richard Roberts
2107 Tasculum Road
Greeneville, Tennessee 37745
Title: Treasurer
Phone # (432) 335-9597

Designated Agent(s):

WILLIAM A. WILSON
10424 WOODBURY WOODS COURT
FAIRFAX, Virginia 22032
Title: SECRETARY
Phone # (703) 250-4988

MS. LINDA O. SHAW
P.O. BOX 8618
GREENSBORO, North Carolina 27419
Title: ASSISTANT TREASURER

Banks or Depositories

Bank of America
1545 E. Andrew Johnson Highway
Greeneville, Tennessee 37745

Chain Bridge Bank
1445-A Laughlin Avenue
McLean, Virginia 22101

Signed: Richard Roberts
Date Signed: 09/25/2009

(End FEC FORM 1)

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