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FEC Form 1 for ASIS INTERNATIONAL POLITICAL ACTION COMMITTEEForm 1 for ASIS INTERNATIONAL POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1101169


1. ASIS INTERNATIONAL POLITICAL ACTION COMMITTEE

    1625 PRINCE STREET
    ALEXANDRIA, VA 22314
    Email: kristin.rubin@asisonline.org;accounting@asisonline.org

    NOTE: Email address is different than previously reported

2. Date: 09/23/2016

3. FEC Committee ID #: C00396408 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

Committee ID# C00396408
ASIS INTERNATIONAL POLITICAL ACTION COMMITTEE
1625 PRINCE STREET
ALEXANDRIA, Virginia 22314
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Larry A Kaplan
1625 Prince Street
Alexandria, VA 22314
Title: Director Accounting
Phone # (703) 519-6200

Treasurer:

Larry A Kaplan
1625 Prince Street
Alexandria, Virginia 22314
Title: Director Accounting
Phone # (703) 519-6200

Designated Agent(s):

Banks or Depositories

Wachovia Bank
1753 Pinnacle Drive
McLean, Virginia 22102

Signed: Larry A Kaplan
Date Signed: 09/23/2016

(End FEC FORM 1)


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