FEC Form 1 for National Association of Health Underwriters PAC (HUPAC)Form 1 for National Association of Health Underwriters PAC (HUPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-190679

1. National Association of Health Underwriters PAC (HUPAC)

P. O. Box 7135
Washington, DC 200447135

NOTE: Address is different than previously reported

Fax: 301-868-5810
Email: HUPAC@NAHU.ORG

2. Date: 10/17/2005

3. FEC Committee ID #: C00283135 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

National Association of Health Underwriters
2000 14th Street Suite 450
Arlington, Virginia 22201
Relationship: Connected
Organization Type: Trade Association

Custodian of Records:

PAC Services LLC
7700 Old Branch AvenueSuite D-103
Clinton, MD 20735
Title: Custodian of Records
Phone # (301) 868-1888

Treasurer:

Wade S., Will
PAC Services LLC
7700 Old Branch AvenueSuite D-103
Clinton, Maryland 20735
Title: Treasurer
Phone # (301) 868-1888

Designated Agent(s):

Thomas P. Bruderle
Nat'l Assoc.of Health Underwriters
2000 14th Street Suite 450
Arlington, Virginia 22201
Title: Assistant Treasurer
Phone # (703) 276-3805

Banks or Depositories

Virginia Commerce Bank
2930 Wilson Blvd.
Arlington, Virginia 22201

Bank of America
7810 Old Branch Avenue
Clinton, Maryland 20735

Signed: Wade S., Will
Date Signed: 10/17/2005
Official Committee URL: WWW.HUPAC.ORG
Official Committee FAX: 301-868-5810

(End FEC FORM 1)

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