FEC Form 1 for American Academy of Neurology Professional Association BrainPACForm 1 for American Academy of Neurology Professional Association BrainPAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-409896

1. American Academy of Neurology Professional Association BrainPAC

1501 M St. NW
Seventh Floor
Washington, DC 20005
Email: mamery@aan.com

2. Date: 03/27/2009

3. FEC Committee ID #: C00435933 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 Academy of Neurology Professional Association
1080 Montreal Ave
St. Paul, Minnesota 55116
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Mr. Timothy J. Engel
1080 Montreal Avenue
St. Paul, Minnesota 55116
Title: CFO
Phone # (651) 695-1940

Designated Agent(s):

Banks or Depositories

US Bank
P.O. Box 1800
St. Paul, Minnesota 551010080

Signed: Mr. Timothy J. Engel
Date Signed: 03/27/2009

(End FEC FORM 1)

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