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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1312344

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1. American Fraternal Alliance Political Action Committee

    PO Box 68700
    Indianapolis, IN 46268
    Email: PAC@fraternalalliance.org

    NOTE: Email address is different than previously reported

2. Date: 01/31/2019

3. FEC Committee ID #: C00693150 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

American Fraternal Alliance
PO Box 68700
Indianapolis, Indiana 46268
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Allison Koppel
PO Box 68700
Indianapolis, IN 46268
Title: Custodian of Records
Phone # (630) 522-6322

Treasurer:

Joseph J. Annotti
PO Box 68700
Indianapolis, Indiana 46268
Title: Treasurer
Phone # (630) 522-6322

Designated Agent(s):

Allison Koppel
PO Box 68700
Indianapolis, Indiana 46268
Title: Assistant Treasurer
Phone # (630) 522-6322

Banks or Depositories

Modern Woodmen Bank
100 17th Street
Rock Island, Illinois 61201

Signed: Joseph J. Annotti
Date Signed: 01/31/2019

(End FEC FORM 1)

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