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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1301789

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1. National Assn. of Dental Plans Political Action Committee

    12700 Park Central Drive
    Suite 400
    Dallas, TX 75251
    Email: mrgriffin@comerica.com,slming@comerica.com

    NOTE: Email address is different than previously reported

2. Date: 12/19/2018

3. FEC Committee ID #: C00323659 This committee is a separate segregated fund. Its connected organization is a Trade Association

Affiliated Committees/Organizations

National Association of Dental Plans
12700 Park Central Drive
Suite 400
Dallas, Texas 75251
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Comerica Bank, PAC Services
P.O. Box 7500
MC2250
Detroit, MI 482752250
Phone # (248) 371-7270

Treasurer:

Evelyn F. Ireland
12700 Park Central Drive
Suite 400
Dallas, Texas 75251
Title: Executive Director
Phone # (972) 458-6998

Designated Agent(s):

Banks or Depositories

Comerica Bank
P O Box 75000
MC 2250
Detroit, Michigan 48275

Signed: Evelyn F. Ireland
Date Signed: 12/19/2018

FORM TEXT-1

(End FEC FORM 1)

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