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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1336680

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1. Intl Cemetery Cremation and Funeral Assn. PAC

    107 Carpenter Dr Ste 100
    Sterling, VA 20164
    Email: fecinfo@pass1.com;Poul@iccfa.com

    NOTE: Email address is different than previously reported

2. Date: 07/03/2019

3. FEC Committee ID #: C00385195 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

Intl Cemetery Cremation and Funeral Assn
107 Carpenter Drive Ste 100
Sterling, Virginia 20164
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Poul Lemasters
107 Carpenter Drive Suite 100
Sterling, VA 20164
Title: Custodian of Records
Phone # (703) 391-8400

Treasurer:

Ray Frew
27501 S Western Avenue
Rancho Palos Verdes, California 90275
Title: Treasurer
Phone # (310) 521-4417

Designated Agent(s):

Poul Lemasters
107 Carpenter Drive Suite 100
Sterling, Virginia 20164
Title: Assistant Treasurer
Phone # (703) 391-8400

Banks or Depositories

Burke & Herbert Bank & Trust
King & Fairfax Streets
Alexandria, Virginia 22314

Signed: Ray Frew
Date Signed: 07/03/2019

FORM TEXT-1

(End FEC FORM 1)

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