FEC Form 1 for American Dietetic Association Political Action CommitteeForm 1 for American Dietetic Association Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-436158

1. American Dietetic Association Political Action Committee

1120 Connecticut Ave. NW
Suite 480
Washington, DC 20036
Email: jteters@eatright.org

NOTE: Email address is different than previously reported

2. Date: 10/15/2009

3. FEC Committee ID #: C00143560 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

Committee ID# C00143560
American Dietetic Association
1120 Connecticut Avenue, NW
Suite 480
Washington, DC 20032
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Paul Mifsud
1120 Conneticut Avenue NW
Suite 480
Washington, DC 20036
Title: CFO
Phone # (202) 775-8277

Designated Agent(s):

Banks or Depositories

United Bank
1667 K Street NW
Washngton, DC 20006

Signed: Paul Mifsud
Date Signed: 10/15/2009
Official Committee URL: www.adapac.org

FORM TEXT

(End FEC FORM 1)

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