FEC Form 1 for COUNTRY FIRST POLITICAL ACTION COMMITTEE, INC. (COUNTRY FIRST PAC)Form 1 for COUNTRY FIRST POLITICAL ACTION COMMITTEE, INC. (COUNTRY FIRST PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-421554

1. COUNTRY FIRST POLITICAL ACTION COMMITTEE, INC. (COUNTRY FIRST PAC)

228 S. WASHINGTON STREET
SUITE 115
ALEXANDRIA, VA 22314
Email: kdavis@hdafec.com

2. Date: 06/24/2009

3. FEC Committee ID #: C00457705

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
In addition, this committee is a Leadership PAC.

Affiliated Committees/Organizations

Candidate ID# S6AZ00019
Sen. John S. McCain
P.O. Box 16118
Arlington, Virginia 22215
Affiliated Relationship Code: Leadership PAC Sponsor

Committee ID# C00458802
McCain Leadership Fund
228 S. Washington Street
Suite 115
Alexandria, Virginia 22314
Affiliated Relationship Code: Joint Fundraising Representative

Custodian of Records:

Keith A. Davis
228 S. Washington Street
Suite 115
Alexandria, VA 22314
Title: Treasurer
Phone # (703) 549-7705

Treasurer:

Keith A. Davis
228 S. Washington Street
Suite 115
Alexandria, Virginia 22314
Title: Treasurer
Phone # (703) 549-7705

Designated Agent(s):

Salvatore A. Purpura
P.O. Box 16118
Arlington, Virginia 22215
Title: Assistant Treasurer
Phone # (703) 549-7705

Banks or Depositories

BB&T
1909 K Street NW
Washington, DC 20006

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

Signed: Keith A. Davis
Date Signed: 06/24/2009

(End FEC FORM 1)

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