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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1037217

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1. American Financial Services Association PAC

    919 18th Street, NW
    Suite 300
    Washington, DC 20006
    Email: bhimpler@afsamail.org;tpelegrin@afsamail.org

    NOTE: Email address is different than previously reported

2. Date: 12/22/2015

3. FEC Committee ID #: C00038604 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

American Financial Services Assn
919 18th Street N.W.
Suite 300
Washington, DC 20006
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mr. Bill Himpler
919 18th Street, NW
Washington, DC 20006
Title: Treasurer
Phone # (202) 466-8616

Treasurer:

Mr. Bill Himpler
919 18th Street, NW
Washington, DC 20006
Title: Treasurer
Phone # (202) 466-8616

Designated Agent(s):

Banks or Depositories

PNC Bank
800 17th St. N.W.
Washington, DC 20006

Signed: Mr. Bill Himpler
Date Signed: 12/22/2015
Official Committee URL: www.afsaonline.org

(End FEC FORM 1)

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