FEC Form 1 for International Premium Cigar and Pipe Retailers Association PACForm 1 for International Premium Cigar and Pipe Retailers Association PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-750930

1. International Premium Cigar and Pipe Retailers Association PAC

NOTE:Commmittee Name is different than previously reported

4 Bradley Park Court, Suite 2H
Columbus, GA 31904
Email: nwatkins@robertwatkins.com

2. Date: 10/27/2011

3. FEC Committee ID #: C00450239 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

International Premium Cigar and Pipe Retailers Association
4 Bradley Park Court, Suite 2H
Columbus, Georgia 31904
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Nancy H. Watkins
610 S. Boulevard
Tampa, FL 33606
Title: Assistant Treasurer
Phone # (813) 254-3369

Treasurer:

William S. Spann
4 Bradley Park Court, Suite 2H
Columbus, Georgia 31904
Title: Treasurer
Phone # (706) 494-1143

Designated Agent(s):

Nancy H. Watkins
610 S. Boulevard
Tampa, Florida 33606
Title: Assistant Treasurer
Phone # (813) 254-3369

Banks or Depositories

The Bank of Tampa
P. O. Box One
Tampa, Florida 33601

Signed: William S. Spann
Date Signed: 10/24/2011
Official Committee URL: None

(End FEC FORM 1)

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