FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-437935
1. OHIO DENTAL ASSOCIATION POLITICAL ACTION COMMITTEE
1370 DUBLIN ROADCOLUMBUS, OH 43215
Email: peg@oda.org
2. Date: 11/16/2006
3. FEC Committee ID #: C00011544 This committee is a separate segregated fund. Its connected organization is aAffiliated Committees/Organizations
Ohio Dental Association1370 Dublin RD
Columbus, Ohio 43215
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Treasurer:
Dr. Bruce Grbach9203 Mentor Avenue
Mentor, Ohio 44060
Title: Treasurer
Phone # (614) 486-2700
Designated Agent(s):
Banks or Depositories
Chase100 Board Street
Columbus, Ohio 43215