FEC Form 1 for American Speech-Language-Hearing Association PACForm 1 for American Speech-Language-Hearing Association PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-703921

1. American Speech-Language-Hearing Association PAC

2200 Research Boulevard
Rockville, MD 208503289
Email: Pac@asha.org

2. Date: 01/04/2011

3. FEC Committee ID #: C00210666 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 Speech-Language-Hearing Association.
2200 Research Boulevard
Rockville, Maryland 20850
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Yvonne Kankam-Boadu
2200 Research Boulevard
Rockville, MD 20850
Title: Director of Finance
Phone # (301) 296-8648

Treasurer:

Arlene Pietranton, Ph.D.
2200 Research Boulevard
Rockville, Maryland 20850
Title: Treasurer
Phone # (301) 296-5701

Designated Agent(s):

Banks or Depositories

SunTrust Bank
P.O. Box 85024
Richmond, Virginia 232855024

Signed: Arlene Pietranton, Ph.D.
Date Signed: 01/04/2011
Official Committee URL: http://www.asha.org/asha-pac

(End FEC FORM 1)

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