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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1070127

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1. AMERICAN HEARTLAND PAC

    1300 PENNSYLVANIA AVE. NW
    NO. 190-612
    WASHINGTON, DC 20004

    NOTE: Address is different than previously reported

    Email: MADAMS@CPBLAWGROUP.COM

    NOTE: Email address is different than previously reported

2. Date: 04/15/2016

3. FEC Committee ID #: C00548867

This committee is an independent expenditure-only political committee (Super PAC).

Affiliated Committees/Organizations

AMERICAN HEARTLAND ALLIANCE
1300 PENNSYLVANIA AVE. NW
NO. 190-612
WASHINGTON, DC 20004
Affiliated Relationship Code: Connected Organization

Custodian of Records:

MICHAEL G. ADAMS
1300 PENNSYLVANIA AVE. NW
NO. 190-612
WASHINGTON, DC 20004
Title: TREASURER
Phone # (202) 695-8300

Treasurer:

MICHAEL G. ADAMS
1300 PENNSYLVANIA AVE. NW
NO. 190-612
WASHINGTON, DC 20004
Title: TREASURER
Phone # (202) 695-8300

Designated Agent(s):

MICHAEL G. ADAMS
1300 PENNSYLVANIA AVE. NW
NO. 190-612
WASHINGTON, DC 20004
Title: TREASURER
Phone # (202) 695-8300

Banks or Depositories

CHAIN BRIDGE BANK, N.A.
1445-A LAUGHLIN AVE.
MCLEAN, Virginia 22101

Signed: MICHAEL G. ADAMS
Date Signed: 04/25/2016

FORM TEXT-1

(End FEC FORM 1)

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