FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1321150
1. AKSM Urology Political Action Committee 'AKSM Urology PAC'
100 West Third Ave Suite 350Columbus, OH 43201
Email: RHUGHES@AKSM.COM;nkbaur@aol.com
2. Date: 12/14/2011
3. FEC Committee ID #: C00489419This 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:
Ric Hughes
100 West Third Avenue, Suite 350
Columbus, OH 43201
Title: Treasurer
Phone # (614) 638-5180
Treasurer:
Ric Hughes
100 West Third Avenue, Suite 350
Columbus, Ohio 43201
Title: Treasurer
Phone # (614) 638-5180
Designated Agent(s):
Tara Perdue
100 West Third Avenue, Suite 350
Columbus, Ohio 43201
Title: Assistant Treasurer
Phone # (614) 298-8150
Banks or Depositories
JP Morgan Chase Bank, Commercial Banki
100 E. Broad Street
10th Floor, OH1-0170
Columbus, Ohio 43215
Signed: Ric Hughes
Date Signed: 03/26/2019
(End FEC FORM 1)
Date Signed: 03/26/2019