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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1084204

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1. Society for Vascular Surgery Political Action Committee

    633 N. St. Clair St.
    24th Floor
    Chicago, IL 60611
    Email: PPhillips@vascularsociety.org;PBurton@vascularsociety.org

    NOTE: Email address is different than previously reported

2. Date: 07/14/2016

3. FEC Committee ID #: C00381459 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

Society for Vascular Surgery
633 N. Saint Clair Street
Chicago, Illinois 60611
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Ken Slaw
633 N Saint Clair
Chicago, Illinois 60611
Title: Executive Director
Phone # (312) 334-2300

Designated Agent(s):

Banks or Depositories

Chase
P.O. Box 659754
San Antonio, Texas 78265

Signed: Ken Slaw
Date Signed: 07/14/2016
Official Committee URL: www.vascular.org

NOTE: URL is different than previously reported

(End FEC FORM 1)

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