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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-711143

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1. Conservative Society For Action FED PAC

    47 FLintlock Drive
    In C/O Nancy Marks
    Shirley, NY 11967

    NOTE: Address is different than previously reported

    Email: nmpcm@aol.com

    NOTE: Email address is different than previously reported

2. Date: 01/31/2011

3. FEC Committee ID #: C00475913

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:

Conrad Schabauer
191 Norma Avenue
West Islip, NY 11795

Treasurer:

Conrad Schabauer
191 Norma Avenue
West Islip, New York 11795
Title: Treasurer
Phone # (631) 943-4772

Designated Agent(s):

Banks or Depositories

TD Bank
Rt 231, Deer Park Avenue
Deer Park, New York 11729

Signed: Conrad Schabauer
Date Signed: 01/31/2011
Official Committee URL: www.csa-1776.org

NOTE: URL is different than previously reported

(End FEC FORM 1)

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