FEC Form 1 for American Academy of Sleep Medicine Political Action CommitteeForm 1 for American Academy of Sleep Medicine Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-304210

1. American Academy of Sleep Medicine Political Action Committee

One Westbrook Corporate Center
Suite 920
Westchester, IL 60154
Email: tthurn@aasmnet.org

2. Date: 09/05/2007

3. FEC Committee ID #: C00331462 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

American Academy of Sleep Medicine
One Westbrook Corporate Center
Westchester, Illinois 60154
Relationship: Connected
Organization Type: Membership Organization

Custodian of Records:

Treasurer:

Jerome A. Barrett
One Westbrook Corporate Center
Suite 920
Westchester, Illinois 60154
Phone # (708) 492-0930

Designated Agent(s):

Banks or Depositories

Signed: Jerome A. Barrett
Date Signed: 09/05/2007

(End FEC FORM 1)

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