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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-803512

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1. REVOLUTION PAC

    3149 DUNDEE RD SUITE 176
    NORTHBROOK, IL 60062

    NOTE: Address is different than previously reported

    Email: dbacker@dbcapitolstrategies.com

    NOTE: Email address is different than previously reported

2. Date: 08/08/2012

3. FEC Committee ID #: C00499335

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:

Mr. Dan Backer, Esq.
209 Pennsylvania Avenue SE
Suite 2109
Washington, DC 20003
Title: Treasurer
Phone # (202) 210-5431

Treasurer:

Mr. Dan Backer, Esq.
209 Pennsylvania Avenue SE
Suite 2109
Washington, DC 20003
Title: Treasurer
Phone # (202) 210-5431

Designated Agent(s):

Banks or Depositories

Access National Bank
14006 Lee Jackson Memorial Hwy
Chantilly, Virginia 20151

Signed: Mr. Dan Backer, Esq.
Date Signed: 08/08/2012
Official Committee URL: www.RevolutionPAC.com

(End FEC FORM 1)

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