FEC Form 1 for Political Action Committee of the American Association of Orthopaedic Surgeons--PAC of AAOSForm 1 for Political Action Committee of the American Association of Orthopaedic Surgeons--PAC of AAOS

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1054696

1. Political Action Committee of the American Association of Orthopaedic Surgeons--PAC of AAOS

317 Massachusetts Ave., N.E.
1st Floor
Washington, DC 20002
Email: slager@aaos.org

2. Date: 03/11/2016

3. FEC Committee ID #: C00343137 This committee is a separate segregated fund. Its connected organization is a Corporation
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

American Association of Orthopaedic Surgeons
9400 W Higgins Rd
Rosemont, Illinois 60018
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Tina Slager
6300 N. River Road
Rosemont, IL 60018
Title: Director of Finance
Phone # (847) 384-4270

Treasurer:

Douglas W Lundy, MD, MBA
5671 Peachtree Dunwoody Rd NE, Ste
Atlanta, Georgia 303425047
Title: Orthopaedic surgeon
Phone # (678) 594-4232

Designated Agent(s):

Tina Slager
9400 W Higgins Rd
Rosemont, Illinois 60018
Title: Assistant Treasurer
Phone # (847) 384-4270

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1054696

1. Political Action Committee of the American Association of Orthopaedic Surgeons--PAC of AAOS

2. Date: 03/11/2016

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Douglas W Lundy, MD, MBA
Date Signed: 03/11/2016

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1054696

1. Political Action Committee of the American Association of Orthopaedic Surgeons--PAC of AAOS

2. Date: 03/11/2016

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Douglas W Lundy, MD, MBA Date Signed: 03/11/2016

(End FEC FORM 1)

Signed: Douglas W Lundy, MD, MBA
Date Signed: 03/11/2016