FEC Form 1 for National Telecommunications Cooperative Association Rural Broadband PACForm 1 for National Telecommunications Cooperative Association Rural Broadband PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1423100

1. National Telecommunications Cooperative Association Rural Broadband PAC

4121 Wilson Blvd.
10th Floor
Arlington, VA 22203
Email: mly@ntca.org

2. Date: 07/15/2020

3. FEC Committee ID #: C00004473 This committee is a separate segregated fund. Its connected organization is a Trade Association
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

National Telecommunications Cooperative Association
4121 Wilson Blvd.
10th Floor
Arlington, Virginia 22203
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Michelle Ly
4121 Wilson Blvd.
10th Floor
Arlington, VA 22203
Title: Advocacy Manager
Phone # (703) 351-2033

Treasurer:

Scott Lively
4121 Wilson Blvd.
10th Floor
Arlington, Virginia 22203
Title: Sr Dir of GA
Phone # (703) 351-2042

Designated Agent(s):

Scott Lively
4121 Wilson Blvd
Suite 1000
Arlington, Virginia 22203
Title: Sr Dir of GA
Phone # (703) 351-2042

Banks or Depositories

Bank of America
P.O. Box 27025
Richmond, Virginia 232617025

Signed: Scott Lively
Date Signed: 07/15/2020

FORM TEXT-1

(End FEC FORM 1)

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