FEC Form 1 for National Assn of Cemeteries d/b/a International Cemetery and Funeral Assn PAC (ICFA PAC)Form 1 for National Assn of Cemeteries d/b/a International Cemetery and Funeral Assn PAC (ICFA PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-187395

1. National Assn of Cemeteries d/b/a International Cemetery and Funeral Assn PAC (ICFA PAC)

107 Carpenter Drive
Suite 100
Sterling, VA 20164
Email: gen4@icfa.org

2. Date: 09/20/2005

3. FEC Committee ID #: C00385195 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

National Association of Cemeteries d/b/a International Cemetery and Funeral Association
107 Carpenter Drive
Suite 100
Sterling, Virginia 20164
Relationship: Connected
Organization Type: Trade Association

Custodian of Records:

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

Treasurer:

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

Designated Agent(s):

Scott Shaffer
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: 09/23/2005
Official Committee URL: n/a

(End FEC FORM 1)

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