FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-811158
1. American Podiatric Medical Association Political Action Committee
9312 Old Georgetown RoadBethesda, MD 208141698
Email: bjwallner@apma.org,pactreasurer@apma.org
NOTE: Email address is different than previously reported
2. Date: 09/20/2012
3. FEC Committee ID #: C00008839 This committee is a separate segregated fund. Its connected organization is a Membership OrganizationAffiliated Committees/Organizations
American Podiatric Medical Association, Inc.9312 Old Georgetown Road
Bethesda, Maryland 20814
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Mr. Benjamin Wallner9312 Old Georgetown Road
Bethesda, MD 20814
Title: Director
Phone # (301) 581-9231
Treasurer:
Dr. Randy Kaplan, DPM1026 S. Washington
Royal Oak, Michigan 48067
Title: Podiatric Physician
Phone # (248) 541-4311
Designated Agent(s):
Benjamin WallnerAmerican Podiatric Medical Associa
9312 Old Georgetown Road
Bethesda, Maryland 20814
Title: Director
Phone # (301) 581-9231
Banks or Depositories
Wells Fargo Bank, N.A.PO Box 63020
San Francisco, California 94163