FEC Form 1 for American Academy of Dermatology Association Political Action Committee (SkinPAC)Form 1 for American Academy of Dermatology Association Political Action Committee (SkinPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-882413

1. American Academy of Dermatology Association Political Action Committee (SkinPAC)

1445 New York Avenue NW
Ste 800
Washington, DC 20005
Email: sdebnar@aad.org;kjones@aad.org

NOTE: Email address is different than previously reported

2. Date: 07/30/2013

3. FEC Committee ID #: C00359539 This committee is a separate segregated fund. Its connected organization is a Trade Association
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

American Academy of Dermatology Association
1445 New York Ave NW
Ste 800
Washington, DC 200052125
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Shawn Friesen
1350 I St NW Suite 870
Washington, DC 200053387
Title: Custodian of Records
Phone # (703) 536-8222

Treasurer:

Steven Debnar
930 E Woodfield Rd
Schaumburg, Illinois 601734729
Title: Treasurer
Phone # (630) 202-0838

Designated Agent(s):