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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1080051

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1. America Revived PAC

    740 S Mill Ave
    Ste 200
    Temp, AZ 85281
    Email: cmarston@nrreports.net;dsmith@nrreports.net

2. Date: 06/23/2016

3. FEC Committee ID #: C00620641

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:

Donna Smith
45 N Hill Dr
Ste 100
Warrenton, VA 20186
Title: Assistant Treasurer

Treasurer:

Chris Marston
PO Box 26141
Alexandria, Virginia 22313
Title: Treasurer

Designated Agent(s):

Banks or Depositories

Bank of America
100 N Tryon St
Charlotte, North Carolina 28255

Signed: Chris Marston
Date Signed: 06/24/2016

(End FEC FORM 1)

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