FEC Form 1 for National Federation of Independent Business Federal Political Action CommitteeForm 1 for National Federation of Independent Business Federal Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1560056

1. National Federation of Independent Business Federal Political Action Committee

555 12th St NW
Suite 1001
Washington, DC 20004
Email: kipp.maloney@nfib.org

2. Date: 01/27/2022

3. FEC Committee ID #: C00101105 This committee is a separate segregated fund. Its connected organization is a Membership Organization
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

National Federation of Independent Business
555 12th St NW
Suite 1001
Washington, DC 20004
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mary Fitzgibbons
53 Century Blvd
Suite 250
Nashville, TN 37214
Title: Compliance Manager
Phone # (615) 232-4010

Treasurer:

Dawn Simpson
555 12th St NW
Suite 1001
Washington, DC 20004
Title: Treasurer
Phone # (202) 554-9000

Designated Agent(s):

Michael W. Maloney
555 12th St NW
Suite 1001
Washington, DC 20004
Title: Assistant Treasurer
Phone # (202) 314-2058

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1560056

1. National Federation of Independent Business Federal Political Action Committee

2. Date: 01/27/2022

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Dawn Simpson
Date Signed: 01/27/2022

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1560056

1. National Federation of Independent Business Federal Political Action Committee

2. Date: 01/27/2022

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Dawn Simpson Date Signed: 01/27/2022

(End FEC FORM 1)

Signed: Dawn Simpson
Date Signed: 01/27/2022