FEC Form 1 for National Association of Insurance and Financial Advisors Political Action CommitteeForm 1 for National Association of Insurance and Financial Advisors Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-52315

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

555 5th Avenue #1400
New York, NY 10017

2. Date: 10/04/2002

3. FEC Committee ID #: C00005249 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

National Association of Insurance & Financial Adv.
2901 Telestar Court
Falls Church, Virginia 22042
Relationship: Connected Organizations

Custodian of Records:

Treasurer:

Peter Browne
555 5th Avenue #1400
New York, New York 10017
Title: President
Phone # (212) 867-7730

Designated Agent(s):

Peter Browne
555 5th Avenue #1400
New York, New York 10017
Title: Treasurer

Banks or Depositories

First Union Bank
One First Union Center
Charlotte, North Carolina 28288

Signed: Mr. Peter Browne
Date Signed: 10/08/2002

(End FEC FORM 1)

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