NCCMP Member Application
Apply to become a member of the National Coordinating Committee for Multiemployer Plans (NCCMP). Please complete all required sections.
Legal Name of Fund
*
Fund Address
*
City
*
State
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other
Zip
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Fax
Email Address
*
Confirmation Email
example@example.com
International Union Affiliation
*
Local or District Council
*
Fund Size (as reported on the Form 5500)
*
Scope (National, Regional, or Local)
*
States Represented
*
Fund Types (i.e. Defined Benefits Pension)
*
Please provide the following information for the primary contact. Please email a list of contact information for each of the trustees and professional advisors to nccmp@nccmp.org. Please inform the trustees and professional advisors they should expect email communications from us.
Title (i.e. Mr., Mrs.)
First Name
*
Middle Initial
Last Name
*
Suffix if applicable
Job Title
*
Relationship To Fund
*
Company or Union
*
Mailing/Billing Address
*
City
*
State
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other
Zip
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Fax
Email Address
*
Confirmation Email
example@example.com
By completing this form, you consent to receiving email communication from the NCCMP. We look forward to being in touch!
Submit Application
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