FEC Form 1 for American Society of Anesthesiologists Political Action Committee (ASA PAC)Form 1 for American Society of Anesthesiologists Political Action Committee (ASA PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1218017

1. American Society of Anesthesiologists Political Action Committee (ASA PAC)

1061 American Lane
Schaumburg, IL 60173
Email: n.matus@asahq.org;m.grassi@asahq.org

2. Date: 04/09/2018

3. FEC Committee ID #: C00255752 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

American Society of Anesthesiologists Political Action Committee
1061 American Lane
Schaumburg, Illinois 60173
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Lisa Steininger
1061 American Lane
Schaumburg, IL 60173
Title: Treasurer
Phone # (847) 825-5586

Treasurer:

Lisa Steininger
1061 American Lane
Schaumburg, Illinois 601734973
Title: Treasurer
Phone # (847) 825-5586

Designated Agent(s):

Ms. Lisa Norman
1061 American Lane
Schaumburg, Illinois 60173
Title: Assistant Treasurer
Phone # (847) 825-5586

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1218017

1. American Society of Anesthesiologists Political Action Committee (ASA PAC)

2. Date: 04/09/2018

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Lisa Steininger
Date Signed: 04/09/2018

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1218017

1. American Society of Anesthesiologists Political Action Committee (ASA PAC)

2. Date: 04/09/2018

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Lisa Steininger Date Signed: 04/09/2018

(End FEC FORM 1)

Signed: Lisa Steininger
Date Signed: 04/09/2018