FEC Form 1 for SOCIETY OF INTERVENTIONAL RADIOLOGY POLITICAL ACTION COMMITTEEForm 1 for SOCIETY OF INTERVENTIONAL RADIOLOGY POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1702980

1. SOCIETY OF INTERVENTIONAL RADIOLOGY POLITICAL ACTION COMMITTEE

3975 Fair Ridge Dr.
Suite 400 North
FAIRFAX, VA 22033
Email: compliance@rightsidecompliance.com;jbuckalew@sirweb.org

NOTE: Email address is different than previously reported

2. Date: 05/03/2023

3. FEC Committee ID #: C00408435 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

Society of Interventional Radiology
3975 Fair Ridge Drive, Ste 400 N
Fairfax, Virginia 22033
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Ji Youn Lee
3975 Fair Ridge Drive, Ste 400 N
Fairfax, VA 22033
Title: Staff Accountant
Phone # (703) 691-1805

Treasurer:

Stacie Monroe
3975 Fair Ridge Drive, Ste 400 N
Fairfax, Virginia 22033
Title: Director, Finance
Phone # (512) 277-6095

Designated Agent(s):

Judi Buckalew
3975 Fair Ridge Dr
Suite 400N
Fairfax, Virginia 22033
Title: Director Govt Affair
Phone # (703) 691-1805

Ji Youn Lee
3975 Fair Ridge Dr.
Suite 400N
Fairfax, Virginia 22033
Title: Assistant Treasurer
Phone # (703) 691-1805

Banks or Depositories

PNC Bank
One PNC Plaza, 249 Fifth Avenue
Pittsburgh, Pennsylvania 15222

Signed: Stacie Monroe
Date Signed: 05/03/2023
Official Committee URL: www.sirweb.org

(End FEC FORM 1)

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