FEC Form 1 for American Academy of Ophthalmology Inc Political Committee (OPHTHPAC)Form 1 for American Academy of Ophthalmology Inc Political Committee (OPHTHPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1101130

1. American Academy of Ophthalmology Inc Political Committee (OPHTHPAC)

655 Beach Street
San Francisco, CA 94109
Email: mroll@aao.org;momega@aao.org

NOTE: Email address is different than previously reported

2. Date: 09/22/2016

3. FEC Committee ID #: C00196246 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

American Academy of Ophthalmology
655 Beach Street
San Francisco, California 94109
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mel Omega
655 Beach St
San Francisco, CA 94109
Title: Custodian of Records
Phone # (415) 561-8500

Treasurer:

Michael Roll
655 Beach St
San Francisco, California 94109
Title: Treasurer
Phone # (415) 561-8500

Designated Agent(s):

Banks or Depositories

Bank of America
101 S Marengo Avenue
3rd Floor
Pasadena, California 91101

Union Bank
400 California Street

San Francisco, California 94104

Wells Fargo Bank N.A.
PO Box 63020
San Francisco, California 94163

Signed: Michael Roll
Date Signed: 09/22/2016

(End FEC FORM 1)

Generated Fri Jun 28 01:26:31 2024