FEC Form 1 for AMERICAN SOCIETY FOR RADIATION ONCOLOGY PAC AKA ASTRO PACForm 1 for AMERICAN SOCIETY FOR RADIATION ONCOLOGY PAC AKA ASTRO PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-409699

1. AMERICAN SOCIETY FOR RADIATION ONCOLOGY PAC AKA ASTRO PAC

NOTE:Commmittee Name is different than previously reported

8280 Willow Oaks Corporate Drive
Suite 500
Fairfax, VA 22031
Email: None

2. Date: 03/26/2009

3. FEC Committee ID #: C00384602 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

American Society for Radiation Oncology
8280 Willow Oaks Corporate Drive
Suite 500
Fairfax, Virginia 22031
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Ms. Emily Wilson
8280 Willow Oaks Corporate Drive
Suite #500
Fairfax, VA 22031
Title: Assistant Treasurer
Phone # (703) 839-7364

Treasurer:

Laura Thevenot
8280 Willow Oaks Corporate Drive
Suite 500
Fairfax, Virginia 22031
Title: Treasurer
Phone # (703) 839-7302

Designated Agent(s):

Ms. Emily Wilson
8280 Willow Oaks Corporate Drive
Suite #500
Fairfax, Virginia 22031
Title: Assistant Treasurer
Phone # (703) 839-7364

Banks or Depositories

Bank of America
Post Office Box 27025
Richmond, Virginia 232617025

Signed: Laura Thevenot
Date Signed: 03/26/2009

(End FEC FORM 1)

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