FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-944365
1. American Academy of Pediatric Dentistry Political Action Committee
211 E Chicago AveSuite 1600
Chicago, IL 60611
NOTE: Address is different than previously reported
Email: jrutkauskas@aapd.org;mbjerklie@aapd.org2. Date: 08/07/2014
3. FEC Committee ID #: C00365965 This committee is a separate segregated fund. Its connected organization is a Membership OrganizationAffiliated Committees/Organizations
American Academy of Pediatric Dentistry211 E Chicago Ave
Suite 1600
Chicago, Illinois 60611
Affiliated Relationship Code: Connected Organization
Custodian of Records:
John S. Rutkauskas211 E Chicago Ave
Suite 1700
Chicago, IL 606112637
Title: CEO
Phone # (312) 337-2169
Treasurer:
John S. Rutkauskas211 E Chicago Ave
Suite 1700
Chicago, Illinois 606112637
Title: CEO
Phone # (312) 337-2169
Designated Agent(s):
Banks or Depositories
Delaware Place Bank190 E Delaware Pl
Chicago, Illinois 60611