FEC Form 1 for National Industrial Sand Association Political Action Committee (SAND PAC)Form 1 for National Industrial Sand Association Political Action Committee (SAND PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1037516

1. National Industrial Sand Association Political Action Committee (SAND PAC)

1200 18th Street NW Suite 1150
Washington, DC 20036

NOTE: Address is different than previously reported

Email: SANDPAC@sand.org

2. Date: 12/28/2015

3. FEC Committee ID #: C00502799 This committee is a separate segregated fund. Its connected organization is a Trade Association
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

National Industrial Sand Association
1200 18th Street NW Suite 1150
Washington, DC 20036
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mark Ellis
c/o PASS 1950 Roland Clarke Place
Suite 300
Reston, VA 20191
Title: Custodian of Records
Phone # (703) 476-3070

Treasurer:

Mark Ellis
1200 18th Street NW Suite 1150
Washington, DC 20036
Title: Treasurer
Phone # (202) 457-0200

Designated Agent(s):

Darrell Smith
1200 18th Street NW Suite 1150
Washington, DC 20036
Title: Assistant Treasurer
Phone # (202) 457-0200

Banks or Depositories

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

Signed: Mark Ellis
Date Signed: 12/28/2015
Official Committee URL: www.sand.org

FORM TEXT-1

(End FEC FORM 1)

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