FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1101169
1. ASIS INTERNATIONAL POLITICAL ACTION COMMITTEE
1625 PRINCE STREETALEXANDRIA, 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 OrganizationAffiliated Committees/Organizations
Committee ID# C00396408ASIS INTERNATIONAL POLITICAL ACTION COMMITTEE
1625 PRINCE STREET
ALEXANDRIA, Virginia 22314
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Larry A Kaplan1625 Prince Street
Alexandria, VA 22314
Title: Director Accounting
Phone # (703) 519-6200
Treasurer:
Larry A Kaplan1625 Prince Street
Alexandria, Virginia 22314
Title: Director Accounting
Phone # (703) 519-6200
Designated Agent(s):
Banks or Depositories
Wachovia Bank1753 Pinnacle Drive
McLean, Virginia 22102