FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1539458
1. NATIONAL ORGANIZATION OF SOCIAL SECURITY CLAIMANTS' REPRESENTATIVES PAC (NOSSCR PAC)
P.O. Box 70451Washington, DC 20024
NOTE: Address is different than previously reported
Email: stacy.cloyd@nosscr.org;jkahl@wtplaw.com2. Date: 09/08/2021
3. FEC Committee ID #: C00521039 This committee is a separate segregated fund. Its connected organization is a Trade AssociationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
National Organization of Social Security Claimants' Representatives161 Airport Executive Park
Nanuet, New York 10954
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Stacy CloydP.O. Box 70451
Washington, DC 20024
Title: Custodian of Records
Phone # (202) 457-7775
Treasurer:
Alan H. Polonsky18 Vanessa Ct
Cherry Hill, New Jersey 08003
Title: Treasurer
Phone # (845) 682-1880
Designated Agent(s):
George PiemonteP. O. Box 669468
Charlotte, North Carolina 28266
Title: Assistant Treasurer
Phone # (201) 567-4228
Banks or Depositories
Bank of AmericaP.O. Box 25118
Tampa, Florida 33622