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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1566930

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1. National Creditors Bar Association PAC

    1990 Main Street
    Suite 750
    Sarasota, FL 34236

    NOTE: Address is different than previously reported

    Email: sonia@creditorsbar.org

2. Date: 02/01/2022

3. FEC Committee ID #: C00491589 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

National Creditors Bar Association
1990 Main Street Suite 750
Sarasota, Florida 34236
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Sonia Reynolds
1990 Main Street Suite 750
Sarasota, FL 34236
Title: Treasurer
Phone # (703) 880-8402

Treasurer:

Sonia Reynolds
1990 Main Street Suite 750
Sarasota, Florida 34236
Title: Treasurer
Phone # (703) 880-8402

Designated Agent(s):

Elizabeth Terry
1990 Main Street Suite 750
Sarasota, Florida 34236
Title: Asst Treasurer
Phone # (202) 861-0706

Banks or Depositories

Burke & Herbert Bank & Trust
302 Maple Ave. W.
Vienna, Virginia 22180

Signed: Elizabeth Terry
Date Signed: 02/02/2022

(End FEC FORM 1)

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