FEC Form 1 for National Association of Rehabilitation Providers &Agencies Inc. Political Action CommitteeForm 1 for National Association of Rehabilitation Providers &Agencies Inc. Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-164914

1. National Association of Rehabilitation Providers &Agencies Inc. Political Action Committee

NOTE:Commmittee Name is different than previously reported

905 Breezewick Circle
Towson, MD 21286

2. Date: 02/14/2005

3. FEC Committee ID #: C00192153 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Nat'lAssoc.ofRehabilitationProviders&AgenciesInc.
12100 Sunset Hills Road
Suite 130
Reston, Virginia 201903221
Relationship: Connected
Organization Type: Trade Association

Custodian of Records:

Barbara Bonfiglio
1155 21st St. NW Suite 300
Washington, DC 20036

Treasurer:

Ernest A. Burch Jr.
905 Breezewick Circle
Towson, Maryland 21286
Title: Treasurer
Phone # (202) 659-8201

Designated Agent(s):

Barbara Bonfiglio
1155 21st St. NW
Suite 300
Washngton, DC 20036
Title: Asst. Treasurer
Phone # (202) 659-8201

Banks or Depositories

Bank of America
PO Box 25118
Tampa, Florida 336225118

Signed: Ernest A. Burch Jr.
Date Signed: 02/14/2005

(End FEC FORM 1)

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