FEC Form 1 for National Community Pharmacists Association - PACForm 1 for National Community Pharmacists Association - PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1704659

1. National Community Pharmacists Association - PAC

100 Daingerfield Road
Alexandria, VA 223142885
Email: pac@ncpa.org

2. Date: 05/18/2023

3. FEC Committee ID #: C00030809 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 Community Pharmacists Association
100 Daingerfield Road
Alexandria, Virginia 22314
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mr. Eric Nielsen
100 Daingerfield Road
Alexandria, VA 22314
Title: Custodian of Records
Phone # (703) 600-1182

Treasurer:

Ms. Anne Cassity
100 Daingerfield Road
Alexandria, Virginia 22314
Title: Treasurer
Phone # (703) 838-2682

Designated Agent(s):

Mr. Stephen C. Albert, CPA
100 Daingerfield Road
Alexandria, Virginia 22314
Title: Assistant Treasurer
Phone # (703) 838-2647

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1704659

1. National Community Pharmacists Association - PAC

2. Date: 05/18/2023

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Ms. Anne Cassity
Date Signed: 05/18/2023

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1704659

1. National Community Pharmacists Association - PAC

2. Date: 05/18/2023

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Ms. Anne Cassity Date Signed: 05/18/2023

(End FEC FORM 1)

Signed: Ms. Anne Cassity
Date Signed: 05/18/2023