FEC Form 1 for eyePAC Political Action Committee for American Society of Cataract and Refractive SurgeryForm 1 for eyePAC Political Action Committee for American Society of Cataract and Refractive Surgery

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-410115

1. eyePAC Political Action Committee for American Society of Cataract and Refractive Surgery

4000 Legato Road, Suite 700
Fairfax, VA 22033

2. Date: 10/01/1983

3. FEC Committee ID #: C00171504 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

Committee ID# C00171504
eyePAC American Society of Cataract and Refractive Surgery
4000 Legato Road #700
Fairfax, Virginia 22033
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Nancey McCann
4000 Legato Road #700
Fairfax, VA 22033
Title: Director
Phone # (703) 788-2220

Treasurer:

Nancey McCann
4000 Legato Rd
Fairfax, Virginia 22033
Title: Director of Govenmen
Phone # (703) 591-2220

Designated Agent(s):

Gerrie Benedi
4000 Legato Road # 700
Fairfax, Virginia 22033
Title: PAC Specialist
Phone # (703) 591-2220

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-410115

1. eyePAC Political Action Committee for American Society of Cataract and Refractive Surgery

2. Date: 10/01/1983

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Nancey McCann
Date Signed: 03/27/2009

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-410115

1. eyePAC Political Action Committee for American Society of Cataract and Refractive Surgery

2. Date: 10/01/1983

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Nancey McCann Date Signed: 03/27/2009

(End FEC FORM 1)

Signed: Nancey McCann
Date Signed: 03/27/2009