FEC Form 1 for AMERICAN ASSOCIATION OF ORTHODONTISTS POLITICAL ACTION COMMITTEEForm 1 for AMERICAN ASSOCIATION OF ORTHODONTISTS POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-739012

1. AMERICAN ASSOCIATION OF ORTHODONTISTS POLITICAL ACTION COMMITTEE

401 N. Lindbergh Blvd
St. Louis, MO 63141

2. Date: 07/27/2011

3. FEC Committee ID #: C00293910 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

American Association of Orthodontists
401 North Lindbergh Blvd.
St. Louis, Missouri 63141
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Kevin J. Dillard
, ____

Designated Agent(s):

Banks or Depositories

US Bank
P.O. Box 1800
Saint Paul, Minnesota 551010800

Signed: Kevin J. Dillard
Date Signed: 07/27/2011

FORM TEXT

(End FEC FORM 1)

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