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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-766063

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1. One Nation PAC

    PO BOX 10144
    Palm Desert, CA 92255
    Email: dbacker@DBcapitolstrategies.com

2. Date: 02/16/2012

3. FEC Committee ID #: C00468447

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:

Kelly S Eustis
P.O. Box 2543
Palm Springs, CA 92263
Title: Assistant Treasurer
Phone # (518) 796-8999

Treasurer:

Mr. Dan Backer, Esq.
PO BOX 75021
Washington, DC 20013
Title: Treasurer
Phone # (202) 210-5431

Designated Agent(s):

Kelly S Eustis
P.O. Box 2543
Palm Springs, California 92263
Title: Assistant Treasurer
Phone # (518) 796-8999

Banks or Depositories

Bank of America
42095 Washington Street
Palm Desert, California 92211

JPMorgan Chase Bank
499 South Palm Canyon Drive
Palm Springs, California 92262

Signed: Mr. Dan Backer, Esq.
Date Signed: 02/16/2012
Official Committee URL: www.onenationpac.org

(End FEC FORM 1)

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