FEC Form 1 for NATIONAL ORGANIZATION OF SOCIAL SECURITY CLAIMANTS' REPRESENTATIVES PAC (NOSSCR PAC)Form 1 for NATIONAL ORGANIZATION OF SOCIAL SECURITY CLAIMANTS' REPRESENTATIVES PAC (NOSSCR PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1138423

1. NATIONAL ORGANIZATION OF SOCIAL SECURITY CLAIMANTS' REPRESENTATIVES PAC (NOSSCR PAC)

560 SYLVAN AVENUE
ENGLEWOOD CLIFFS, NJ 07632
Email: Barbara.Silverstone@nosscr.org;habegg@wc-b.com

2. Date: 01/11/2017

3. FEC Committee ID #: C00521039 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 Organization of Social Security Claimants' Representatives
560 Sylvan Avenue
Englewood Cliffs, New Jersey 07632
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Heidi Abegg
1747 Pennsylvania Ave NW
Suite 1000
Washington, DC 20006
Title: Attorney
Phone # (202) 785-9500

Treasurer:

Alan H. Polonsky
18 Vanessa Ct
Cherry Hill, New Jersey 08003
Title: Treasurer
Phone # (856) 547-7898

Designated Agent(s):

Cindy Berger
560 Sylvan Avenue
Englewood Cliffs, New Jersey 07632
Title: Assistant Treasurer
Phone # (201) 567-4228

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1138423

1. NATIONAL ORGANIZATION OF SOCIAL SECURITY CLAIMANTS' REPRESENTATIVES PAC (NOSSCR PAC)

2. Date: 01/11/2017

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Alan H. Polonsky
Date Signed: 01/12/2017

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1138423

1. NATIONAL ORGANIZATION OF SOCIAL SECURITY CLAIMANTS' REPRESENTATIVES PAC (NOSSCR PAC)

2. Date: 01/11/2017

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Alan H. Polonsky Date Signed: 01/12/2017

(End FEC FORM 1)

Signed: Alan H. Polonsky
Date Signed: 01/12/2017