FEC Form 1 for American Association of Oral and Maxillofacial Surgeons Political Action CommitteeForm 1 for American Association of Oral and Maxillofacial Surgeons Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-169208

1. American Association of Oral and Maxillofacial Surgeons Political Action Committee

9700 West Bryn Mawr Ave.
Rosemont, IL 60018
Fax: 8476786279

2. Date: 01/17/2003

3. FEC Committee ID #: C00005660 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

AAOMS
9700 W. Bryn Mawr
Rosemont, Illinois 60018
Relationship: Connected
Organization Type: Membership Organization

Custodian of Records:

Treasurer:

Dr. Michael Hunter
451 Andover St.
Suite 125
North Andover, Massachusetts 01845
Title: Treasurer
Phone # (913) 381-5194

Designated Agent(s):

Banks or Depositories

Northern Trust Bank
8501 W. Higgins Road
Chicago, Illinois 60631

Signed: Dr. Michael Hunter
Date Signed: 04/04/2005
Official Committee FAX: 8476786279

(End FEC FORM 1)

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