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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1083743

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1. NATIONAL FOOTBALL LEAGUE PLAYERS ASSOCIATION ONE TEAM PAC

    1133 20TH ST., NW
    WASHINGTON, DC 200363450
    Email: charles.ross@nflpa.org;admin@evanskatz.com

    NOTE: Email address is different than previously reported

2. Date: 04/27/2016

3. FEC Committee ID #: C00619429 This committee is a separate segregated fund. Its connected organization is a Labor Organization

Affiliated Committees/Organizations

National Football League Players Association
1133 20th St., NW
Washington, DC 20036
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mr. Charles H. Ross
NFLPA
1133 20th St., NW
Washington, DC 200363450
Title: Treasurer
Phone # (202) 756-9100

Treasurer:

Mr. Charles H. Ross
NFLPA
1133 20th St., NW
Washington, DC 200363450
Title: Treasurer
Phone # (202) 756-9100

Designated Agent(s):

Ira Fishman
NFLPA
1133 20th St., NW
Washington, DC 200363450
Title: Assistant Treasurer
Phone # (202) 756-9100

Banks or Depositories

Amalgamated Bank
1825 K Street, NW
Washington, DC 20006

Signed: Mr. Charles H. Ross
Date Signed: 07/13/2016

(End FEC FORM 1)

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