FEC Form 1 for National Association of Insurance and Financial Advisors Political Action CommForm 1 for National Association of Insurance and Financial Advisors Political Action Comm

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1261812

1. National Association of Insurance and Financial Advisors Political Action Comm

2901 Telestar Ct.
Falls Church, VA 22042
Email: IFAPAC@NAIFA.ORG

NOTE: Email address is different than previously reported

2. Date: 09/17/2018

3. FEC Committee ID #: C00005249 This committee is a separate segregated fund. Its connected organization is a Membership Organization
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

National Association of Insurance and Financial Advisors
2901 Telestar Ct
Falls Church, Virginia 22042
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Brock T. Jolly
2901 Telestar Court
Falls Church, Virginia 22042
Title: Insurance Agent
Phone # (703) 770-8152

Designated Agent(s):

Banks or Depositories

Wells Fargo
P.O. Box 563966
Charlotte, North Carolina 282563966

Signed: Brock T. Jolly
Date Signed: 09/17/2018

FORM TEXT-1

(End FEC FORM 1)

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