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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1048362

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1. THE TEA PARTY LEADERSHIP FUND

    203 S. UNION ST.
    SUITE 300
    ALEXANDRIA, VA 22314
    Email: dbacker@dbcapitolstrategies.com;kristin@dbcapitolstrategies.com

2. Date: 02/08/2016

3. FEC Committee ID #: C00520825

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.

Affiliated Committees/Organizations

Committee ID# C00608166
TEA PARTY FORWARD
211 N UNION STREET
SUITE 100
ALEXANDRIA, Virginia 22314
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Kristin Howard
203 S Union St
Suite 300
Alexandria, VA 22314
Title: Custodian of Records
Phone # (571) 882-9731

Treasurer:

Dan Backer
203 S Union St
Suite 300
Alexandria, Virginia 22314
Title: Treasurer
Phone # (571) 882-9731

Designated Agent(s):

Kristin Howard
203 S Union St
Suite 300
Alexandria, Virginia 22314
Title: Assistant Treasurer
Phone # (571) 882-9731

Banks or Depositories

Access National Bank
1800 Robert Fulton Dr
Reston, Virginia 20191

Signed: Dan Backer
Date Signed: 02/08/2016
Official Committee URL: www.TheTeaPartyLeadershipFund.com

FORM TEXT-1

(End FEC FORM 1)

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