FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1184803
1. Telecommunications Industry Association Broadband PAC
1320 N. Courthouse Rd., Suite 200Arlington, VA 22201
Email: SMEDICK@TIAONLINE.ORG;accounting@tiaonline.org
NOTE: Email address is different than previously reported
2. Date: 10/10/2017
3. FEC Committee ID #: C00383356 This committee is a separate segregated fund. Its connected organization is a Trade AssociationAffiliated Committees/Organizations
Telecommunications Industry Association1320 N. Courthouse Rd., Suite 200
Arlington, Virginia 22201
Affiliated Relationship Code: Connected Organization
Custodian of Records:
LIDA BERLEJUNG1320 NORTH COURTHOUSE RD
STE 200
ARLINGTON, VA 22201
Treasurer:
SUSAN MEDICK1320 N. Courthouse Rd., Suite 200
Arlington, Virginia 22201
Title: CFO
Phone # (703) 907-7732
Designated Agent(s):
Banks or Depositories
Suntrust BankP.O Box 622227
Orlando, Florida 32862