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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-744546

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1. Conservative Action Fund

    5011 Lake Crest Circle
    Hoover, AL 35226
    Email: dbacker@DBCapitolStrategies.com

2. Date: 09/13/2011

3. FEC Committee ID #: C00496505

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:

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

Treasurer:

Shaun McCutcheon
5011 Lake Crest Circle
Hoover, Alabama 35226
Title: Treasurer
Phone # (205) 542-9961

Designated Agent(s):

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

Banks or Depositories

Regions Bank
1900 Fifth Avenue North
Birmingham, Alabama 35203

Signed: Shaun McCutcheon
Date Signed: 09/13/2011
Official Committee URL: www.ConservativeActionFund.com

FORM TEXT

(End FEC FORM 1)

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