FEC Form 1 for NATIONAL ORGANIZATION OF SOCIAL SECURITY CLAIMANTS' REPRESENTATIVES PAC (NOSSCR PAC)Form 1 for NATIONAL ORGANIZATION OF SOCIAL SECURITY CLAIMANTS' REPRESENTATIVES PAC (NOSSCR PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1539458

1. NATIONAL ORGANIZATION OF SOCIAL SECURITY CLAIMANTS' REPRESENTATIVES PAC (NOSSCR PAC)

P.O. Box 70451
Washington, DC 20024

NOTE: Address is different than previously reported

Email: stacy.cloyd@nosscr.org;jkahl@wtplaw.com

2. Date: 09/08/2021

3. FEC Committee ID #: C00521039 This committee is a separate segregated fund. Its connected organization is a Trade Association
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

National Organization of Social Security Claimants' Representatives
161 Airport Executive Park
Nanuet, New York 10954
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Stacy Cloyd
P.O. Box 70451
Washington, DC 20024
Title: Custodian of Records
Phone # (202) 457-7775

Treasurer:

Alan H. Polonsky
18 Vanessa Ct
Cherry Hill, New Jersey 08003
Title: Treasurer
Phone # (845) 682-1880

Designated Agent(s):

George Piemonte
P. O. Box 669468
Charlotte, North Carolina 28266
Title: Assistant Treasurer
Phone # (201) 567-4228

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1539458

1. NATIONAL ORGANIZATION OF SOCIAL SECURITY CLAIMANTS' REPRESENTATIVES PAC (NOSSCR PAC)

NOTE: Address is different than previously reported

2. Date: 09/08/2021

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Alan H. Polonsky
Date Signed: 09/14/2021

FORM TEXT-1

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1539458

1. NATIONAL ORGANIZATION OF SOCIAL SECURITY CLAIMANTS' REPRESENTATIVES PAC (NOSSCR PAC)

NOTE: Address is different than previously reported

2. Date: 09/08/2021

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Alan H. Polonsky Date Signed: 09/14/2021 function popup1539458F12() { plain_window = window.open('/dcdev/fectxt/1539458F12.txt','plain','scrollbars,resizable,width=500,height=500'); } FORM TEXT-1

(End FEC FORM 1)

Signed: Alan H. Polonsky
Date Signed: 09/14/2021

FORM TEXT-1