FEC Form 1 for SOCIETY OF THORACIC SURGEONS POLITICAL ACTION COMMITTEEForm 1 for SOCIETY OF THORACIC SURGEONS POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-485364

1. SOCIETY OF THORACIC SURGEONS POLITICAL ACTION COMMITTEE

20 F STREET, NW
SUITE 310 C
WASHINGTON, DC 200016704
Email: pbongiorno@sts.org

2. Date: 08/01/2010

3. FEC Committee ID #: C00325936 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

The Society of Thoracic Surgeons
633 N. Saint Clair Street
Suite 2320
Chicago, Illinois 606113658
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Phillip A. Bongiorno
20 F Street, NW
Suite 310 C
Washington, DC 200016704
Title: Assistant Treasurer
Phone # (202) 787-1230

Treasurer:

Dr. Sidney Levitsky
20 F Street, NW
Suite 310 C
Washington, DC 200016704
Title: Treasurer
Phone # (202) 787-1230

Designated Agent(s):

Phillip A. Bongiorno
20 F Street, NW
Suite 310 C
Washington, DC 200016704
Title: Assistant Treasurer
Phone # (202) 787-1230

Banks or Depositories

SunTrust
3440 Wisconsin Avenue, NW
Washington, DC 20016

Signed: Dr. Sidney Levitsky
Date Signed: 08/01/2010
Official Committee URL: www.sts.org

(End FEC FORM 1)

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