FEC Form 1 for North Carolina Dental Society PACForm 1 for North Carolina Dental Society PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1771761

1. North Carolina Dental Society PAC

1600 Evans Road
Cary, 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 Organization

Affiliated Committees/Organizations

Committee ID# C00000729
AMERICAN 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 Olson
1600 Evans Road
Cary, NC 27513
Title: Treasurer
Phone # (919) 677-1396

Treasurer:

Shelley B Olson
1600 Evans Road
Cary, North Carolina 27513
Title: Treasurer
Phone # (919) 677-1396

Designated Agent(s):

Banks or Depositories

PNC Bank
PO Box 609
Pittsburgh, Pennsylvania 15230

Signed: Shelley B Olson
Date Signed: 04/14/2024
Official Committee URL: www.ncdental.org

(End FEC FORM 1)

Generated Sat Aug 24 18:13:29 2024