FEC Form 1 for National Committee to Preserve Social Security & Medicare PACForm 1 for National Committee to Preserve Social Security & Medicare PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1168870

1. National Committee to Preserve Social Security & Medicare PAC

111 K Street, NE
Suite 700
Washington, DC 20002

NOTE: Address is different than previously reported

Email: kimc@ncpssm.org

2. Date: 07/10/2017

3. FEC Committee ID #: C00172296 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 Committee to Preserve Social Security and Medicare
111 K Street, NE
Suite 700
Washington, DC 20002
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Ms. Christine Kim
111 K Street, NE
Suite 700
Washington, DC 20002
Title: Treasurer
Phone # (202) 216-8428

Designated Agent(s):

Phillip Rotondi
111 K Street, NE
Suite 700
Washington, DC 20002
Title: Assistant Treasurer
Phone # (202) 216-8376

Banks or Depositories

Bank of America
730 15th Street, NW
Second Floor
Washington, DC 200051012

Signed: Ms. Christine Kim
Date Signed: 07/10/2017

FORM TEXT-1

(End FEC FORM 1)

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