FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1771761
1. North Carolina Dental Society PAC
1600 Evans RoadCary, NC 27513
Email: ebasile@ncdental.org;sdates@ncdental.org
NOTE: Email address is different than previously reported
2. Date: 04/06/2024
3. FEC Committee ID #: C00012211 This committee is a separate segregated fund. Its connected organization is a Membership OrganizationAffiliated Committees/Organizations
Committee ID# C00000729AMERICAN DENTAL ASSOCIATION POLITICAL ACTION COMMITTEE
1111 14TH STREET, NW
SUITE 1100
WASHINGTON, DC 20005
Affiliated Relationship Code: Affiliated Committee
North Carolina Dental Society
1600 Evans Road
Cary, North Carolina 27513
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Shelley B Olson1600 Evans Road
Cary, NC 27513
Title: Treasurer
Phone # (919) 677-1396
Treasurer:
Shelley B Olson1600 Evans Road
Cary, North Carolina 27513
Title: Treasurer
Phone # (919) 677-1396
Designated Agent(s):
Banks or Depositories
PNC BankPO Box 609
Pittsburgh, Pennsylvania 15230