FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-869401
1. Concordia Political Action Committee, Inc.
P. O. Box 232Ashburn, GA 31714
Email: elholland.cap@gmail.com
NOTE: Email address is different than previously reported
2. Date: 05/01/2013
3. FEC Committee ID #: C00450866This 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:
Eva Lynn Holland
P. O. Box232
Ashburn, GA 31714
Title: Secretary
Phone # (229) 567-9662
Treasurer:
Daniel T King
P. O. Box 232
Ashburn, Georgia 31714
Title: Treasurer
Phone # (229) 567-9662
Designated Agent(s):
Eva Lynn Holland
P. O. Box232
Ashburn, Georgia 31714
Title: Sec
Phone # (229) 567-9662
Banks or Depositories
Colony Bank
P. O. Box 807
Ashburn, Georgia 31714
Signed: Daniel T King
Date Signed: 05/01/2013
(End FEC FORM 1)
Date Signed: 05/01/2013