FEC Form 1 for American Association of Oral and Maxillofacial Surgeons Political Action CommitteeForm 1 for American Association of Oral and Maxillofacial Surgeons Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-268131

1. American Association of Oral and Maxillofacial Surgeons Political Action Committee

9700 West Bryn Mawr Ave.
Rosemont, IL 60018
Fax: 8476786279
Email: tmacino@aaoms.org

2. Date: 01/09/2007

3. FEC Committee ID #: C00005660 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

AAOMS
9700 W. Bryn Mawr
Rosemont, Illinois 60018
Relationship: Connected
Organization Type: Membership Organization

Custodian of Records:

Treasurer:

Dr. John Freihaut
840 Church St.
Building H
Marietta, Georgia 30060
Title: Treasurer
Phone # (847) 678-6200

Designated Agent(s):

Banks or Depositories

Northern Trust Bank
8501 W. Higgins Road
Chicago, Illinois 60631

Scudder Investments Service Company
P.O. Box 219154
Kansas City, Missouri 641217197

Signed: Dr. John Freihaut
Date Signed: 01/09/2007
Official Committee FAX: 8476786279

(End FEC FORM 1)

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