FEC Form 1 for The American Occupational Therapy Association, Inc. Political Action Committee (AOTPAC)Form 1 for The American Occupational Therapy Association, Inc. Political Action Committee (AOTPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-799122

1. The American Occupational Therapy Association, Inc. Political Action Committee (AOTPAC)

4720 Montgomery Lane, Suite 200
Bethesda, MD 208143449

NOTE: Address is different than previously reported

Email: aotpac@aota.org

2. Date: 07/18/2012

3. FEC Committee ID #: C00089086 This committee is a separate segregated fund. Its connected organization is a Membership Organization
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

The American Occupational Therapy Association, Inc.
4720 Montgomery Lane, Suite 200
Bethesda, Maryland 208143449
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Darlene C Dennis
4720 Montgomery Lane
PO Box 31220
Bethesda, MD 208241220
Title: Political Action Adm
Phone # (301) 652-2682

Treasurer:

Christina A. Metzler
4720 Montgomery Lane
PO Box 31220
Bethesda, Maryland 20824
Title: Chief Public Affairs
Phone # (301) 652-2682

Designated Agent(s):

Chuck Partridge
4720 Montgomery Lane, Suite 200
Bethesda, Maryland 208143449
Title: Assistant Treasurer
Phone # (301) 652-2682

Banks or Depositories

SunTrust Bank
1445 New York Ave, NW
Washington, DC 20005

Signed: Christina A. Metzler
Date Signed: 07/18/2012
Official Committee URL: www.aota.org/aotpac

FORM TEXT

(End FEC FORM 1)

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