05/09/2025 16 : 53

Image# 202505099760913092
PAGE 1 / 4

STATEMENT OF
FEC
FORM 1 ORGANIZATION
Office Use Only

1. NAME OF (Check if name Example: If typing, type

COMMITTEE (in full) over the lines.
12FE4M5
is changed)

Dakota Conservative PAC

18806 446th Ave.

ADDRESS (number and street)
(Check if address
▼

is changed)
Hayti SD 57241

CITY STATE ZIP CODE

▼ ▼ ▼

COMMITTEE'S E-MAIL ADDRESS

(Check if address [email protected]

▼

is changed)

Optional Second E-Mail Address

COMMITTEE'S WEB PAGE ADDRESS (URL)

(Check if address
▼

is changed)

M M / D D / Y Y Y Y

2. DATE 05 09 2025

3. FEC IDENTIFICATION NUMBER C C00904797

▼

4. IS THIS STATEMENT NEW (N) OR AMENDED (A)

I certify that I have examined this Statement and to the best of my knowledge and belief it is true, correct and complete.

Type or Print Name of Treasurer Frederick, Randy, , ,

M M / D D / Y Y Y Y

Signature of Treasurer Frederick, Randy, , , Date 05 09 2025

NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Statement to the penalties of 52 U.S.C. §30109.
ANY CHANGE IN INFORMATION SHOULD BE REPORTED WITHIN 10 DAYS.

Office For further information contact:

Federal Election Commission FEC FORM 1
Use (Revised 06/2012)
Toll Free 800-424-9530
Only Local 202-694-1100
Image# 202505099760913093

FEC Form 1 (Revised 03/2022) Page 2

5. TYPE OF COMMITTEE:

Candidate Committee:
(a) This committee is a principal campaign committee. (Complete the candidate information below.)

(b) This committee is an authorized committee, and is NOT a principal campaign committee. (Complete the candidate
information below.)
Name of
Candidate

Candidate Office State

Party Affiliation Sought: House Senate President
District
(c) This committee supports/opposes only one candidate, and is NOT an authorized committee.

Name of
Candidate

Party Committee:
(National, State (Democratic,
(d) This committee is a
or subordinate) committee of the Republican, etc.) Party

Political Action Committee (PAC):

(e) This committee is a separate segregated fund. (Identify connected organization on line 6.) Its connected organization is a:

Corporation Corporation w/o Capital Stock Labor Organization

Membership Organization Trade Association Cooperative

In addition, this committee is a Lobbyist/Registrant PAC.

(f) This committee supports/opposes more than one Federal candidate, and is NOT a separate segregated fund or party
committee. (i.e., nonconnected committee)

In addition, this committee is a Lobbyist/Registrant PAC.

In addition, this committee is a Leadership PAC. (Identify sponsor on line 6.)

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

In addition, this committee is a Lobbyist/Registrant PAC.

(h) This committee is a political committee with both contribution and non-contribution accounts (Hybrid PAC).

In addition, this committee is a Lobbyist/Registrant PAC.

Joint Fundraising Representative:

This committee collects contributions, pays fundraising expenses and disburses net proceeds for two or more political
(i)
committees/organizations, at least one of which is an authorized committee of a federal candidate.

This committee collects contributions, pays fundraising expenses and disburses net proceeds for two or more political
(j)
committees/organizations, none of which is an authorized committee of a federal candidate.

Committees Participating in Joint Fundraiser

1. C
2. C
Image# 202505099760913094

FEC Form 1 (Revised 02/2009) Page 3

Write or Type Committee Name

Dakota Conservative PAC

6. Name of Any Connected Organization, Affiliated Committee, Joint Fundraising Representative, or Leadership PAC Sponsor

NONE

Mailing Address

CITY STATE ZIP CODE

▼ ▼ ▼

Relationship: Connected Organization Affiliated Organization Joint Fundraising Representative Leadership PAC Sponsor

7. Custodian of Records: Identify by name, address (phone number -- optional) and position of the person in possession of committee
books and records.

Frederick, Randy, , ,
Full Name
18806 446th Ave.
Mailing Address

Hayti SD 57241

CITY STATE ZIP CODE

▼ ▼ ▼

Title or Position ▼

Treasurer 605 520 6040

Telephone number

8. Treasurer: List the name and address (phone number -- optional) of the treasurer of the committee; and the name and address of
any designated agent (e.g., assistant treasurer).

Full Name Frederick, Randy, , ,

of Treasurer

18806 446th Ave.

Mailing Address

Hayti SD 57241

CITY STATE ZIP CODE

▼ ▼ ▼

Title or Position ▼

Treasurer 605 520 6040

Telephone number
Image# 202505099760913095

FEC Form 1 (Revised 02/2009) Page 4

Full Name of
Designated
Agent

Mailing Address

CITY STATE ZIP CODE

▼ ▼ ▼

Title or Position ▼

Telephone number

9. Banks or Other Depositories: List all banks or other depositories in which the committee deposits funds, holds accounts, rents
safety deposit boxes or maintains funds.

Name of Bank, Depository, etc.

Reliabank

117 Main Ave.

Mailing Address

Hayti SD 57241

CITY STATE ZIP CODE

▼ ▼ ▼

Name of Bank, Depository, etc.

Mailing Address

CITY STATE ZIP CODE

▼ ▼ ▼