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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1303630

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1. Georgia Action Fund

    1001 Pennsylvania Avenue NW
    Suite 1300 South
    Washington, DC 20004
    Email: scarlough@clarkhill.com

2. Date: 01/09/2019

3. FEC Committee ID #: C00693606

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

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Sloane S. Carlough
1001 Pennsylvania Avenue NW
Suite 1300 South
Washington, DC 20004
Phone # (202) 640-6673

Treasurer:

Sloane S. Carlough
1001 Pennsylvania Avenue NW
Suite 1300 South
Washington, DC 20004
Phone # (202) 640-6673

Designated Agent(s):

Banks or Depositories

Chain Bridge Bank, N.A.
1445A Laughlin Avenue
McLean, Virginia 22101

Signed: Sloane S. Carlough
Date Signed: 01/09/2019

FORM TEXT-1

(End FEC FORM 1)

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