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-902875

1. SOCIETY OF THORACIC SURGEONS POLITICAL ACTION COMMITTEE

20 F STREET, NW
SUITE 310 C
WASHINGTON, DC 200016704

NOTE: Address is different than previously reported

Email: CYOHE@STS.ORG

NOTE: Email address is different than previously reported

2. Date: 01/29/2014

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 NORTH ST. CLAIR STREET
SUITE 2320
CHICAGO, Illinois 606113658
Affiliated Relationship Code: Connected Organization

Custodian of Records:

COURTNEY YOHE SAVAGE
20 F STREET, NW
SUITE 310 C
WASHINGTON, DC 200016704
Title: CUSTODIAN OF RECORDS
Phone # (202) 787-1230

Treasurer:

DR. DOUGLAS J. MATHISEN
20 F STREET, NW
SUITE 310 C
WASHINGTON, DC 200016704
Title: TREASURER
Phone # (202) 787-1230

Designated Agent(s):

Banks or Depositories

SUNTRUST BANK
3440 WISCONSIN AVENUE, NW
WASHINGTON, DC 20016

Signed: DR. DOUGLAS J. MATHISEN
Date Signed: 01/29/2014
Official Committee URL: WWW.STS.ORG

(End FEC FORM 1)

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