FEC Form 1 for NATIONAL FUNERAL DIRECTORS ASSOCIATION OF THE U S INC POLITICAL ACTION CMTE (NFDA-PAC)Form 1 for NATIONAL FUNERAL DIRECTORS ASSOCIATION OF THE U S INC POLITICAL ACTION CMTE (NFDA-PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-193153

1. NATIONAL FUNERAL DIRECTORS ASSOCIATION OF THE U S INC POLITICAL ACTION CMTE (NFDA-PAC)

13625 BISHOP'S DRIVE
BROOKFIELD, WI 53005
Fax: 2627896977
Email: bholton@nfda.org

2. Date: 12/01/2005

3. FEC Committee ID #: C00204008 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

National Funeral Directors Association Inc
13625 Bishop's Drive
Brookfield, Wisconsin 53005
Relationship: Connected
Organization Type: Corporation W/O Capital Stock

Custodian of Records:

Mr. William R. Holton
13625 Bishop's Drive
Brookfield, WI 53005
Title: Accounting Manager
Phone # (262) 789-1880

Treasurer:

Mr. Michael R. St. Pierre
P.O. Box 33045
Indianapolis, Indiana 462030045
Title: Treasurer
Phone # (317) 632-9431

Designated Agent(s):

Robert J Biggins, CFSP
PO Box 385
Rockland, Maryland 023700385
Title: President
Phone # (781) 878-1775

Mr. Michael R. St. Pierre
P.O. Box 33045
Indianapolis, Indiana 462030045
Title: Treasurer
Phone # (317) 632-9431

Mr. John J. Hogan
136-25 41st Ave
Flushing, New York 11355
Title: President-Elect
Phone # (718) 939-3100

Banks or Depositories

Associated Bank
401 E. Kilbourn
Milwaukee, Wisconsin 53202

Signed: Mr. Michael R. St. Pierre
Date Signed: 12/08/2005
Official Committee FAX: 2627896977

(End FEC FORM 1)

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