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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1161033

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1. AMERICAN REVIVAL PAC

    2900 CLEARVIEW PKWY
    SUITE 206
    METAIRIE, LA 70006
    Email: wjvcpa@aol.com

2. Date: 05/03/2017

3. FEC Committee ID #: C00639229

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
     In addition, this committee is a Leadership PAC.

Affiliated Committees/Organizations

MIKE JOHNSON FOR LOUISIANA
2900 CLEARVIEW PKWY
SUITE 206
METAIRIE, Louisiana 70006
Affiliated Relationship Code: Leadership PAC Sponsor

Custodian of Records:

WILLIAM VANDERBROOK, CPA
2900 CLEARVIEW PKWY
SUITE 206
METAIRIE, LA 70006
Title: TREASURER
Phone # (504) 455-0762

Treasurer:

WILLIAM VANDERBROOK, CPA
2900 CLEARVIEW PKWY
SUITE 206
METAIRIE, Louisiana 70006
Title: TREASURER
Phone # (504) 455-0762

Designated Agent(s):

Banks or Depositories

FIRST BANK AND TRUST
909 POYDRAS ST
NEW ORLEANS, Louisiana 70112

Signed: WILLIAM VANDERBROOK, CPA
Date Signed: 05/03/2017

(End FEC FORM 1)

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