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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-423644

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1. OB-GYNS FOR WOMEN'S HEALTH AND THE AMERICAN CONGRESS OF OB-GYNS PAC (OB-GYN PAC)

    NOTE:Commmittee Name is different than previously reported

    409 12TH STREET, SW
    WASHINGTON, DC 20024
    Email: SMISCIKOWSKI@ACOG.ORG

2. Date: 07/14/2009

3. FEC Committee ID #: C00364158 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

OB-GYNS FOR WOMEN'S HEALTH
409 12TH STREET, SW
WASHINGTON, DC 20024
Affiliated Relationship Code: Connected Organization

THE AMERICAN CONGRESS OF OB-GYNS
409 12TH STREET, SW
WASHINGTON, DC 20024
Affiliated Relationship Code: Connected Organization

Custodian of Records:

STACIE MISCIKOWSKI
409 12TH STREET, SW
WASHINGTON, DC 20024
Title: TREASURER
Phone # (202) 863-2505

Treasurer:

STACIE MISCIKOWSKI
409 12TH STREET, SW
WASHINGTON, DC 20024
Title: TREASURER
Phone # (202) 863-2505

Designated Agent(s):

Banks or Depositories

SUNTRUST BANK
3440 WISCONSIN AVENUE, NW
WASHINGTON, DC 20016

Signed: STACIE MISCIKOWSKI
Date Signed: 07/14/2009

(End FEC FORM 1)

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