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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-921484

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1. SOCIETY FOR CARDIOVASCULAR ANGIOGRAPHY AND INTERVENTIONS ASSOCIATION PAC

    1100 17th Street, NW
    Suite 330
    WASHINGTON, DC 20036
    Email: ttu@bellsouth.net;wpowell@scai.org

    NOTE: Email address is different than previously reported

2. Date: 04/18/2014

3. FEC Committee ID #: C00519371 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

Committee ID# C00519371
SOCIETY FOR CARDIOVASCULAR ANGIOGRAPHY AND INTERVENTIONS ASSOCIATION PAC
1100 17th Street, NW
Suite 330
WASHINGTON, DC 20036
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Terie Paulette King
1100 17th Street, NW
Suite 330
Washington, DC 20036
Title: SrDirector Accounti
Phone # (202) 741-9863

Treasurer:

Dr. Thomas Tu
3003 Glenhill Ct.
Prospect, Kentucky 40059
Title: Treasurer
Phone # (502) 893-7710

Designated Agent(s):

Banks or Depositories

Suntrust Bank
1445 New York Ave.
Washington, DC 20037

Signed: Dr. Thomas Tu
Date Signed: 04/18/2014

(End FEC FORM 1)

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