FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-410045
1. Alzheimer's Action PAC
PO Box 65209Washington, DC 200355209
Email: payne.ashley@arentfox.com
2. Date: 03/27/2009
3. FEC Committee ID #: C00430421This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
Affiliated Committees/Organizations
NONE
, ____
Custodian of Records:
Ashley Payne
1050 Connecticut Ave, NW
Washington, DC 20036
Title: Assistant Treasurer
Phone # (202) 715-8425
Treasurer:
John Dwyer
1050 Connecticut Avenue, NW
Washington, DC 20036
Title: Treasurer
Phone # (202) 715-8425
Designated Agent(s):
Ashley Payne
1050 Connecticut Ave, NW
Washington, DC 20036
Title: Assistant Treasurer
Phone # (202) 715-8425
Banks or Depositories
Wachovia
1100 Connecticut Avenue, NW
Washington, DC 20036
Signed: John Dwyer
Date Signed: 03/27/2009
(End FEC FORM 1)
Date Signed: 03/27/2009