FEC Form 1 for National Funeral Directors Association of the United States IncForm 1 for National Funeral Directors Association of the United States Inc

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-976746

1. National Funeral Directors Association of the United States Inc

13625 Bishops Drive
Brookfield, WI 53005
Email: jbernard@nfda.org;lwitter@nfda.org

2. Date: 12/03/2014

3. FEC Committee ID #: C00204008 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

Committee ID# C00204008
National Funeral Directors Association of the United States Inc
13625 Bishops Drive
Brookfield, Wisconsin 53005
Affiliated Relationship Code: Leadership PAC Sponsor

Custodian of Records:

Treasurer:

W Ashley Cozine
1147 S Broadway
Wichita, Kansas 67211
Title: Tresurer
Phone # (316) 262-3435

Designated Agent(s):

Banks or Depositories

Associated Bank
401 E. Kilbourn Avenue
Milwaukee, Wisconsin 532020522

Signed: W Ashley Cozine
Date Signed: 12/03/2014

(End FEC FORM 1)

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