FEC Form 1 for American Academy of Physician Assistants Political Action Committee (PA PAC)Form 1 for American Academy of Physician Assistants Political Action Committee (PA PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1333793

1. American Academy of Physician Assistants Political Action Committee (PA PAC)

2318 Mill Road
Suite 1300
Alexandria, VA 22314
Email: pac@aapa.org

2. Date: 06/11/2019

3. FEC Committee ID #: C00122499 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

American Academy of Physician Assistants
2318 Mill Road
Suite 1300
Alexandria, Virginia 22314
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Lisa M. Gables
2318 Mill Road
Suite 1300
Alexandria, VA 22314
Title: Interim CEO
Phone # (571) 319-4502

Treasurer:

Lisa M. Gables
2318 Mill Road
Suite 1300
Alexandria, Virginia 22314
Title: Interim CEO
Phone # (571) 319-4502

Designated Agent(s):

Tillie Fowler
2318 Mill Rd
Suite 1300
Alexandria, Virginia 22314
Phone # (703) 836-2272

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1333793

1. American Academy of Physician Assistants Political Action Committee (PA PAC)

2. Date: 06/11/2019

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Lisa M. Gables
Date Signed: 06/12/2019

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1333793

1. American Academy of Physician Assistants Political Action Committee (PA PAC)

2. Date: 06/11/2019

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Lisa M. Gables Date Signed: 06/12/2019

(End FEC FORM 1)

Signed: Lisa M. Gables
Date Signed: 06/12/2019