FEC Form 1 for Delta Dental Plans Association PACForm 1 for Delta Dental Plans Association PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-859655

1. Delta Dental Plans Association PAC

1515 W. 22ND STREET, SUITE 450
OAK BROOK, IL 60523
Email: jgrant@deltadental.com;ktrainer@wileyrein.com

NOTE: Email address is different than previously reported

2. Date: 03/08/2013

3. FEC Committee ID #: C00213819 This committee is a separate segregated fund. Its connected organization is a Trade Association
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Delta Dental Plans Association
1515 W 22nd Street
Suite 450
Oak Brook, Illinois 60523
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Ben Yomtoob
1515 W 22nd Street
Suite 450
Oak Brook, IL 60523
Title: Treasurer

Treasurer:

Ben Yomtoob
1515 W 22nd Street
Suite 450
Oak Brook, Illinois 60523
Title: Treasurer

Designated Agent(s):

Robert Reese
1515 22nd Street
Suite 450
Oak Brook, Illinois 60523
Title: Assistant Treasurer
Phone # (630) 574-6852

Banks or Depositories

The Northern Trust Company
50 S. LaSalle Street
Chicago, Illinois 60675

Delaware Place Bank
190 E. Delaware Place
Chicago, Illinois 60611

Signed: Ben Yomtoob
Date Signed: 03/08/2013

(End FEC FORM 1)

Generated Sun Jul 7 00:32:45 2024