FEC Form 1 for American College of Physicians Services PACForm 1 for American College of Physicians Services PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-408187

1. American College of Physicians Services PAC

25 Massachusetts Ave, NW
Suite 700
Washington, DC 200017401
Email: acpservicespac@acponline.org

2. Date: 03/18/2009

3. FEC Committee ID #: C00403881 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 College of Physician Services, Inc
190 N Independence Mall Wst
Philadelphia, Pennsylvania 191061572
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Jolynne M Flores
25 Massachusetts Ave, NW
Suite 700
Washington, DC 200017401
Title: Supervisor
Phone # (202) 261-4532

Treasurer:

Richard Trachtman, Esq
25 Massachusetts Ave, NW
Suite 700
Washington, DC 200017401
Title: Director
Phone # (202) 261-4538

Designated Agent(s):

Jonni McCrann
25 Massachusetts Ave
Suite 700
Washington, DC 200017401
Title: Senior Manager
Phone # (202) 261-4541

Banks or Depositories

Bank of America, NA
PO Box 25118
Tampa, Florida 336225118

Signed: Richard Trachtman, Esq
Date Signed: 03/18/2009
Official Committee URL: http://www.acpservices.org/pac

(End FEC FORM 1)

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