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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1180944

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1. Proven Conservative PAC

    1117 Williamson Rd.
    Luverne, AL 36049

    NOTE: Address is different than previously reported

    Email: paul@josseypllc.com

2. Date: 08/25/2017

3. FEC Committee ID #: C00653998

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:

Paul Jossey
1220 L St., NW
STE 100-475
Washington, DC 20005
Title: Treasurer
Phone # (202) 779-5768

Treasurer:

Paul Jossey
1220 L St., NW
STE 100-475
Washington, DC 20005
Title: Treasurer
Phone # (202) 779-5768

Designated Agent(s):

John Giles
1117 Williamson Rd.
Laverne, Alabama 36049
Title: Chairman

Banks or Depositories

Access National
1800 Robert Fulton Dr.
Reston, Virginia 20191

Signed: Paul Jossey
Date Signed: 09/01/2017

FORM TEXT-1

(End FEC FORM 1)

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