FEC Form 1 for International Academy of Compounding Pharmacists PAC (COMP PAC)Form 1 for International Academy of Compounding Pharmacists PAC (COMP PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-748101

1. International Academy of Compounding Pharmacists PAC (COMP PAC)

4638 Riverstone Blvd
Missouri City, TX 77459
Email: sarahdodge@iacprx.org

NOTE: Email address is different than previously reported

2. Date: 10/14/2011

3. FEC Committee ID #: C00424143 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

Intl Academy of Compounding Pharmacists
4638 Riverstone Blvd
Missouri City, Texas 77459
Affiliated Relationship Code: Connected Organization

Custodian of Records:

David G. Miller
4638 Riverstone Blvd
Missouri City, TX 77459
Title: Custodian
Phone # (281) 933-8400

Treasurer:

David G. Miller
4638 Riverstone Blvd
Missouri City, Texas 77459
Title: Treasurer
Phone # (281) 933-8400

Designated Agent(s):

Banks or Depositories

Comerica Bank
P.O. Box 650282
Dallas, Texas 75265

Signed: David G. Miller
Date Signed: 10/14/2011

FORM TEXT

(End FEC FORM 1)

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